Sequential compression device

 Is a method of deep vein thrombosis (DVT) prevention

 Shape like sleeves
 Helps prevent blood clot
 Clients who are undergoing surgery or who are immobilized may benefit
 Another terms used in the literature is intermittent pneumatic compression devices (IPCDs)
 Useful in preventing thrombi and edema
 Not used for client who of arterial insufficiency, cellulitis, infection of the extremity, active DVT
or pre-existing venous thrombosis
 Are available in foot, knee length or thigh length sleeves

Applying sequential compression device

Nursing responsibilities

Before the procedure

 Explain the procedure.

 Observe appropriate infection procedure.
 Provide clients privacy.

During the procedure

 Place the client in a dorsal recumbent or semi fowler’s position and then measure the client leg
as recommended by the manufacturer if a thigh-length sleeve is required.
 Applying the sequential compression sleeves, connecting to the control unit and adjusting
pressure
- Place a sleeve under each leg with opening at the knee
- Wrap the sleeve securely around the leg , securing the velcro tabs
- Connect the tubing to the sleeves and control unit, ensuring that arrows on the plug and
the connector are in alignment and the tubing is not kinked or twisted
 Turn on the control unit and adjust the alarms and pressures as needed the sleeve coiling
control and a warm should be on; ankle pressure is usually set at 35 to 55 mmhg

After the procedure

 Documentation and evaluation

DRUG CAPSULE-PREVENTION OF DEEP VENOUS THROMBOSIS

The low molecular weight heparins are anticoagulants used to prevent deep venous thrombosis after
hip, knee, or abdominal surgery. They are also used for clients at risk for thromboembolus secondary to
prolonged bed rest due to acute illness. These heparins are given subcutaneously either once a day or
every 12 hours. They have a predictable dose response and do not require daily lab test monitoring.

NURSING RESPONSIBILITIES

• Administration

• CLIENT AND FAMILY TEACHING