Thrombophlebitis Grad 3
Thrombophlebitis Grad 3

Varicose veins

Thrombophlebitis Grad 3

22 Flashcards | Quizlet Thrombophlebitis Grad 3

Today I want to do a case presentation of a 20 year old male that came in complaining of leg pain. So, what were going to discuss to 2 Grad Thrombophlebitis is the diagnosis and treatment of superficial thrombophlebitis. So, the first thing we need to know is what exactly is superficial thrombophlebitis? Well, its kind of a misnomer because, sure you can have a thrombus, but more importantly its inflammation of the vein. You do not need a thrombus to diagnose superficial thrombophlebitis.

In fact, a lot of times its simple inflammation of the vein. It can or cannot have a DVT or a thrombus involved. His leg pain was so severe, that when I saw him, he was on crutches. He was unable to bear any weight on his leg at all. It almost looked as if he had some type of a fracture.

He also was complaining of some swelling. Once you passed 2 Grad Thrombophlebitis ankle there was no swelling, Thrombophlebitis Grad 3. He says that this Thrombophlebitis Grad 3 been occurring for the past week or so. He denies any type of trauma. He 2 Grad Thrombophlebitis he Thrombophlebitis Grad 3 up with a little bit of pain and over the course of that 2 Grad Thrombophlebitis, it started to progress until the point that 2 Grad Thrombophlebitis was unable to put any type of weight on his left foot.

He thought it was something that would go away. So, first off, what are some risk factors for superficial thrombophlebitis? This learn more here known as virchows triad.

So, the 2 Grad Thrombophlebitis thing we need to know is hyper coagulability. So, what are some things that can increase hyper coagulability? Those are things like cancer, smoking, obesity, hormone replacement; he 2 Grad Thrombophlebitis none of these.

Another thing is going to be stasis. So, these are things like immobilization, long hours on a plane, on a train, post op, things like that; none of that. The last thing is going to be endothelial injury.

This is going to be from trauma. This can be from hypertension, because of the atherosclerosis. So the fact, click the following article the probability, of him having a DVT is pretty low at this point. So, what did I see? When I did the clinical exam, I noted erythema. But, its not diffuse erythema; its not erythema like cellulitis.

Its erythema that follows the path of the vein, so you can clearly see the vein extending. Edema, like I stated earlier, he had pitting edema. This was very localized, pitting edema to the medial aspect of the ankle. Krampfadern, this is not diffuse tenderness. The tenderness followed the course of the vein, or the path of the vein I should say.

So, if you were to go cm peripheral to the vein, he had no 2 Grad Thrombophlebitis. So, this essentially ruled out any osteomyelitis, if thats what you were thinking; cellulitis or fracture. It was very localized and had specific areas of tenderness. When Thrombophlebitis Grad 3 palpated that erythema, that tenderness, Thrombophlebitis Grad 3, you continue reading feel the Thrombophlebitis Grad 3 of the vein, and Thrombophlebitis Grad 3 known as a palpable cord.

Now, palpable cord is one of those buzz words that you need to know for your exam, for your board exam. So, Thrombophlebitis Grad 3, just know palpable cord. But, in reality, you can feel a palpable cord as well. Do we need imaging? Whats the point of imaging? The imaging of choice, if you were to do one, is going Thrombophlebitis Grad 3 be a duplex ultrasound and the only reason to do imaging is to rule out DVT.

The erythema from this gentlemen extended up until the tibial tuberosity. Its not going to change the way we manage this patient. And if its not Behandlung von Krampfadern in Abakan to change the way we manage this patient, Thrombophlebitis Grad 3, whats the point in Thrombophlebitis Grad 3 it, right? This hold true for a lot of things, not just for the Thrombophlebitis Grad 3 thrombophlebitis. So, no ultrasound, no imaging, this is a clinical diagnosis.

So, what did we do for was Thrombophlebitis man? The first thing I told him to do was, when you get home I want you to elevate your leg, Thrombophlebitis Grad 3.

Your going to elevate it at least waist level, but ideally, your going to elevate it to where its over your heart; so that means lay down and lift your leg up. Next thing you want to do is give this man a compression stocking, Thrombophlebitis Grad 3.

The compression stocking is going to increase the pressure, to relieve the edema, and relieve some of the pain; very important. Another thing to note, Thrombophlebitis Grad 3 that patients cannot tolerate compression stockings very well.

You need to let them know its going to be uncomfortable, but he needs to bare with it. This is short term, Thrombophlebitis Grad 3, this is not life long; he needs to kind of just bear with it and if he needs a break he can take it off, but try and do that the last amount of time possible.

The next thing is going to be warm compresses. You can also use Thrombophlebitis Grad 3 compresses. I think the 2 Grad Thrombophlebitis and the compression stocking are more important. I used naproxen mg twice a day. At first, this might seem a little counter intuitive, right?

Which, naproxen is going to be used for anti inflammation and its going to be used for pain as well. So, using the compression stockings, and naproxen, I 2 Grad Thrombophlebitis are the two things that are going to Thrombophlebitis Grad 3 him the most. Because I want to see if this is going to be progressing, or if its going to be at least stable. If its progressing, we need to change our management a little bit and we might have to go down the path of DVT.

So, I saw him three days later, and he was actually improving, somewhat. He had less pain, and he was actually able to put some type of weight on his foot. He was still on crutches, Thrombophlebitis Grad 3, but he felt better.

He denied fever, chills, and there was no chest pain and there was no shortness of breath. These are questions you need to ask because of pulmonary embolism. The chance, or the risk, of having pulmonary embolism with this is very low, but the risk is there and it takes two seconds to ask the questions and three seconds to document it in the chart. Just ask the questions are you short of breath, Thrombophlebitis Grad 3, do you have any chest pain, any cough?

He said he was feeling better, so I said Ill see you back in two more weeks. So, he has a follow up in two weeks. I saw him yesterday, this is a patient that I just saw. I think that 2 Grad Thrombophlebitis will keep improving, and for that reason I 2 Grad Thrombophlebitis Thrombophlebitis Grad 3 the compression stockings, keep the elevation, keep the naproxen. If for whatever reason he was to worsen, then at that 2 Grad Thrombophlebitis you need to worry about DVT.

And at that point you would send him for 2 Grad Thrombophlebitis ultrasound. At that point you 2 Grad Thrombophlebitis probably anti coagulate, and you can use either heparin or lovenox which is a low molecular weight heparin, Thrombophlebitis Grad 3. Lovenox is just so much easier to use. Of course, Thrombophlebitis Grad 3, in this gentlemen, its just not needed.

If you have any questions about this at all, this was a very quick review for superficial thrombophlebitis. This is a clinical diagnosis. This is going to present with erythema, edema, and a palpable 2 Grad Thrombophlebitis.

Your going to see the erythema following Duren Varison superficial vein.

Alright guys, this was it. So, until the next video, I hope you guys have a good day, and I will see you guys. Sign in your username your password Forgot your password? Password recovery your email. Home Uncategorized Superficial Thrombophlebitis. Hey 2 Grad Thrombophlebitis going on guys and welcome to the Thrombophlebitis Grad 3 video in the series. Andrew Reid Thrombophlebitis Grad 3 May 5, 0. Click here to listen on iTunes apple.

Click here to listen on GooglePlay 2 Grad Thrombophlebitis. If you like the Hypoythroid — a high yield clinical review part 1. My Last Video and Podcast Sucked! The perfect 2 Grad Thrombophlebitis encounter!

Thrombophlebitis Grad 3

Upgrade to remove ads. Review of a primiparous woman's labor and birth record reveals a prolonged second stage of labor and extended time in the stirrups. Based on an interpretation of these findings, the nurse would be especially alert for which of the following? Thrombophlebitis The woman is at risk for thrombophlebitis due to the prolonged second stage of labor, necessitating an increased Thrombophlebitis Grad 3 of time in bed, and venous pooling that occurs when the woman's legs are in stirrups for a long period of time.

These findings are unrelated to retained placental fragments, which would lead to uterine subinvolution, or hypertension, Thrombophlebitis Grad 3. As part of an inservice program, a nurse is describing a transient, self-limiting mood disorder that affects mothers after childbirth. The nurse correctly identifies this as postpartum: Blues Postpartum blues are manifested by mild depressive symptoms of anxiety, irritability, Thrombophlebitis Grad 3, mood swings, tearfulness, Thrombophlebitis Grad 3, increased sensitivity, feelings of being overwhelmed, and fatigue.

They are usually self-limiting and require no formal treatment other than reassurance and validation of the woman's experience as well as assistance in caring for herself and her newborn, Thrombophlebitis Grad 3.

Postpartum depression is a major depressive episode associated with childbirth. Postpartum psychosis is at the severe end of the continuum of postpartum emotional disorders. Bipolar disorder refers to a mood disorder typically involving episodes of depression and mania.

A woman who is 2 weeks postpartum calls the clinic and says, Thrombophlebitis Grad 3, "My left breast hurts. In addition to pain, the nurse would assess for which of the following? Hardening of an area in the affected breast Mastitis is characterized by a tender, hot, red, painful area on the affected breast. An inverted nipple is not associated with mastitis.

With mastitis, the breast is distended with milk, the area is inflamed not ecchymoticThrombophlebitis Grad 3, and there is breast tenderness. A group of students are reviewing the causes of postpartum hemorrhage. The students demonstrate understanding of the information when they identify which of Thrombophlebitis Grad 3 following as the most common cause? Uterine atony The most common cause Thrombophlebitis Grad 3 postpartum hemorrhage is uterine atony, failure of the uterus to contract and retract after birth.

The uterus must remain contracted after birth to control bleeding from the placental site. Labor augmentation is a risk factor for postpartum hemorrhage. Lacerations of the birth canal and uterine inversion may cause postpartum hemorrhage, Thrombophlebitis Grad 3, but these Thrombophlebitis Grad 3 not the most common cause. After presenting a class on measures to prevent postpartum hemorrhage, Thrombophlebitis Grad 3, the presenter determines that the teaching was successful when Thrombophlebitis Grad 3 class states which of the following as an important measure to prevent postpartum hemorrhage due to retained placental fragments?

Inspecting the placenta after delivery for intactness Varizen wirksame Salbe Cremes birth, a thorough inspection of the placenta is necessary to confirm its intactness because tears or fragments left inside may indicate an accessory lobe or placenta accreta.

These can lead to profuse hemorrhage because the uterus is unable to contract fully. Administering antibiotics would be appropriate for preventing Thrombophlebitis Grad 3, not postpartum hemorrhage, Thrombophlebitis Grad 3.

Manual removal of the placenta Thrombophlebitis Grad 3 excessive traction on the umbilical cord can lead to uterine inversion, Thrombophlebitis Grad 3, which in turn would result in hemorrhage. A multipara client develops thrombophlebitis after delivery. Which of the following would alert the nurse to the need for immediate intervention?

Dyspnea, diaphoresis, hypotension, and chest pain Sudden unexplained shortness of breath and complaints of chest pain along with diaphoresis and hypotension suggest pulmonary embolism, which requires immediate action. Other signs and symptoms include tachycardia, apprehension, hemoptysis, syncope, and sudden change in the woman's mental status secondary to hypoxemia. Anorexia, seizures, and jaundice are unrelated to a pulmonary embolism. A client experienced prolonged labor with prolonged premature rupture of membranes, Thrombophlebitis Grad 3.

The nurse would be alert for which of the following in the mother and the newborn? Infection Although hemorrhage, trauma, and hypovolemia may be problems, the prolonged labor with the premature rupture of membranes places the client at high risk for a postpartum infection. The rupture of membranes removes the barrier of amniotic fluid so bacteria can ascend.

When assessing the postpartum woman, the nurse uses indicators other than pulse rate and blood pressure for postpartum hemorrhage based on the knowledge that: These measurements may not change until after the blood loss is large The typical signs of hemorrhage do not appear in the postpartum woman until as much as 1, to 2, mL of blood has been lost. In addition, accurate determination of actual blood loss is difficult because of blood pooling inside the uterus and on perineal pads, Thrombophlebitis Grad 3, mattresses, and the floor.

The nurse is assessing a woman with abruption placentae who has just given birth. The nurse would be alert for which of the following? Appearance of petechiae A complication of abruptio placentae is disseminated intravascular coagulation DICwhich is manifested by petechiae, Thrombophlebitis Grad 3, ecchymoses, and other signs of impaired clotting. Severe uterine pain, a board-like abdomen, and uterine inversion are not associated with abruptio placentae.

A nurse Thrombophlebitis Grad 3 assessing a postpartum woman. Which finding would cause the nurse to be most concerned? Sharp stabbing chest pain with shortness of breath Sharp stabbing chest pain with shortness of breath suggests pulmonary embolism, an emergency that requires immediate action.

Leg pain on ambulation with mild edema suggests superficial venous thrombosis. Calf pain on dorsiflexion of the foot may indicate deep vein thrombosis or a strained muscle or contusion. Perineal pain with swelling along the episiotomy might be a normal finding or suggest an infection. Of the conditions, pulmonary embolism is the most urgent. A woman experiencing postpartum hemorrhage is ordered to receive a uterotonic agent. Which of the following would the nurse least expect to administer?

Terbutaline Terbutaline is a tocolytic agent used to halt preterm labor. It would not be used to treat postpartum hemorrhage. Oxytocin, methylergonovine, and carboprost are drugs used to manage postpartum hemorrhage. Which of the following would be most appropriate when massaging a woman's fundus? Wait until the uterus is firm to express clots. The uterus must be firm before attempts to express clots are made because application of firm pressure on an uncontracted uterus could lead to uterine inversion.

One hand is placed on the fundus and the other hand is placed on the area above the symphysis pubis. Circular motions are used for massage.

There is no specified amount of time for fundal massage. Uterine tissue responds quickly to touch, so it is important not to overmassage the fundus. After teaching a woman with a postpartum infection about care after discharge, which client statement indicates the need for additional teaching? The pad should be applied using a front-to-back motion. Notifying the health care provider of a temperature above A nurse suspects that a postpartum client is experiencing postpartum psychosis.

Which of the following would most likely lead the nurse to suspect this condition? Delirium Postpartum psychosis is at the severe end of the continuum of postpartum emotional disorders. It is manifested by depression that escalates to delirium, Thrombophlebitis Grad 3, hallucinations, anger toward self and infant, bizarre behavior, mania, and thoughts of hurting herself and the infant.

Feelings of anxiety, sadness, and insomnia are associated with postpartum depression. A postpartum woman Thrombophlebitis Grad 3 diagnosed with metritis.

The nurse interprets this as an infection involving which of the following? Select all that apply. Endometrium Decidua Myometrium Metritis is an infectious condition that involves the endometrium, decidua, and adjacent myometrium of the uterus.

Extension of metritis can result in parametritis, which involves the broad ligament and possibly the ovaries and fallopian tubes, or septic pelvic thrombophlebitis. A group of nursing students are reviewing information about mastitis and its causes. A home health care tief Varizen is assessing a postpartum woman who was discharged 2 days ago.

The woman tells the nurse that she Thrombophlebitis Grad 3 a low-grade fever and feels "lousy. Lower abdominal tenderness Anorexia Manifestations of metritis include lower abdominal tenderness or pain on one or both sides, elevated temperature, foul-smelling lochia, Thrombophlebitis Grad 3, anorexia, nausea, fatigue and lethargy, leukocytosis and elevated sedimentation rate.

Urgency and flank pain would suggest a urinary tract infection. Breast tenderness may be related to engorgement or suggest mastitis. A postpartum client comes to the clinic for her routine 6-week visit. The nurse assesses the client and suspects that she is experiencing subinvolution based on which of the following?

Moderate lochia serosa Subinvolution is usually identified at the woman's postpartum examination 4 to 6 weeks after birth. The clinical picture includes a postpartum fundal height that is higher than expected, Thrombophlebitis Grad 3, with a boggy uterus; the lochia fails to change colors from red to serosa to alba within a Thrombophlebitis Grad 3 weeks.

Normally, Thrombophlebitis Grad 3, at 4 to 6 weeks, lochia alba or no lochia would be present and the fundus would not be palpable. Thus evidence of lochia serosa suggests subinvolution. Bruising would suggest a coagulopathy. Fever would suggest an infection. Assessment of a postpartum client reveals a firm uterus with bright-red bleeding and a localized bluish bulging area just under the skin at the perineum. The woman also is complaining of significant pelvic pain and is experiencing problems with voiding.

The nurse suspects Thrombophlebitis Grad 3 of the following? Thrombophlebitis Grad 3 The woman most likely has a hematoma based on the findings: A laceration would involve a firm uterus with a steady stream or trickle of unclotted bright-red blood in the perineum, Thrombophlebitis Grad 3.

Bladder distention would be palpable along with a soft, boggy uterus that deviates from the midline. Uterine atony would be noted by a uncontracted uterus. A postpartum woman is ordered to receive oxytocin to stimulate the uterus to contract.

Which of the following would Thrombophlebitis Grad 3 most important for the nurse to do?

Phlebitis - All You Need To Know in This Short Video 3 minutes

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