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Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) HF#6184

Neuro/Rehab




 

 

What are DVT and PE?

 

Deep vein thrombosis is a blood clot that forms in the deep veins of the body, most often in the veins below the knee.  They may also form in the upper legs, arms and abdomen.  DVTs alone are not life threatening.  If the clot breaks free and moves to the lungs, it can lodge in vessels there.  This is called a pulmonary embolism.  A PE is dangerous and can be life-threatening.  The risk of developing a PE is fairly low. 

 

 

Risk Factors

□        Increased age

□        Major surgery

□        Fracture of pelvis, hip or leg

□        Cancer and cancer treatment

□        Cardiac problems

□        Obesity

□        Birth control pills

□        Pregnancy

□        Hormone replacement therapy

□        Prior DVT

□        Little activity

□        Varicose veins

□        Blood clotting disorders

□        Diabetes

□        Central line

 

Prevention

When in the hospital, we work to prevent you from getting DVT or a PE.  You may be asked to:

□        Wear compression stockings or leg pumps

□        Do range of motion exercises

□        Walk

□        Use blood thinners

 

Signs and Symptoms of DVT

□        Pain or tenderness to area

□        Swelling, redness, or discoloration

□        Warmth of an affected area


Signs and Symptoms of PE

□        Chest pain, shortness of breath

□        Rapid pulse and/or breathing

□        Low grade fever

□        Cough, with or without blood sputum

 

Diagnosis

For DVT

□        Ultrasound

□        Venography – looks at blood flow in the legs using dye

 

For PE

□        CT or MRI of chest

 

Lab work and a physical exam will be done.

 

 

Common Treatment Options

□        Medicines

·        Blood thinners prevent clot from getting bigger and new clots from forming

·        Clot dissolvers only used if clot is very large or life-threatening

□        Compression stockings

□        Elevation of affected limb to decrease swelling

□        Surgery

·        Placement of a filter that traps clots from flowing to the lungs

·        Thrombolectomy to remove clot

 



The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.

Last Updated: 03/09/2010

Copyright © 03/09/2010 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6184

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