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  • Discussion On: Venous Thromboembolic Disease

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    Mac Del Ro Reb
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    Venous thromboembolism encompasses deep vein thrombosis and pulmonary embolism, which can cause death or disability. It is caused by Virchow's triad of endothelial injury, stasis, and hypercoagulability. Major risk factors include trauma, immobilization, and hypercoagulable states. Symptoms vary but include pain or swelling in the legs. Diagnosis involves clinical assessment, imaging tests, and D-dimer levels. Prevention focuses on early mobilization and mechanical devices, while treatment involves anticoagulation drugs.

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    DVT

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    Venous thromboembolism encompasses deep vein thrombosis and pulmonary embolism, which can cause death or disability. It is caused by Virchow's triad of endothelial injury, stasis, and hypercoagulability. Major risk factors include trauma, immobilization, and hypercoagulable states. Symptoms vary but include pain or swelling in the legs. Diagnosis involves clinical assessment, imaging tests, and D-dimer levels. Prevention focuses on early mobilization and mechanical devices, while treatment involves anticoagulation drugs.

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    22 views13 pages

    Discussion On: Venous Thromboembolic Disease

    Uploaded by

    Mac Del Ro Reb
    Venous thromboembolism encompasses deep vein thrombosis and pulmonary embolism, which can cause death or disability. It is caused by Virchow's triad of endothelial injury, stasis, and hypercoagulability. Major risk factors include trauma, immobilization, and hypercoagulable states. Symptoms vary but include pain or swelling in the legs. Diagnosis involves clinical assessment, imaging tests, and D-dimer levels. Prevention focuses on early mobilization and mechanical devices, while treatment involves anticoagulation drugs.

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    of 13

    Discussion on

    VENOUS THROMBOEMBOLIC
    DISEASE

    By: Dr. Gervin M. Rebulado


    VENOUS THROMBOEMBOLISM

    • Encompasses Deep Venous Thrombosis


    (DVT) and Pulmonary Embolism (PE), and
    causes cardiovascular death and disability
    • VIRCHOW’S TRIAD
    – Endothelial injury
    – Stasis
    – Hypercoagulability
    PATHOPHYSIOLOGY
    RISK FACTORS
    • Trauma has been identified as one of the
    strongest risk factors leading to
    thromboembolism
    – Head injury
    – Spinal cord injury
    – Lower-extremity fracture
    – Pelvic fracture
    – Major surgical procedure
    • Patients who are subject to hypercoagulable
    state
    – Immobile
    – Ventilator-dependent
    COMMON SYMPTOMS
    CLINICAL LIKELIHOOD ASSESSMENT
    CLINICAL LIKELIHOOD ASSESSMENT
    DIAGNOSIS
    DIAGNOSIS
    CHEMICAL PROPHYLAXIS
    NON-PHARMACOLOGIC PROPHYLAXIS
    • 1st line prevention:
    – Promoting mobilization to the extent permitted by
    the injury  raises cardiac output  augments
    venous flow through muscle compression
    • Mechanical Devices:
    – Graduated compressive stockings
    – Pneumatic pumps
    TREATMENT
    DVT
    •LMWH, fondaparinux, Unfractionated, intravenous
    heparin

    PE
    •Cardiorespiratory support

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