Discuss the pathophysiology of a DVT

52-year-old female patient presents for follow-up 7 days after hospitalization for her first deep vein thrombosis (DVT) in the left leg. She is currently taking rivaroxaban (Xarelto) 15 mg once daily. She had thrombolysis while in hospital and reports a decrease in swelling and tenderness of left leg. She also is positive for Factor V Leiden. The patient is in today and asking why she is taking rivaroxaban and not warfarin (Coumadin) like some of her friends who had a similar problem. She also wants to know how long she should be on rivaroxaban. Past Medical History- Patient also reports that she is asthmatic and hypertensive. Allergies- None Known Medications- Rivaroxaban 15 mg daily, HCTZ 25 mg daily, Advair 250/50 daily, Ibuprofen 400-600 mg po prn Physical Exam: Weight: 160 lb Height: 65 in BMI: 26.6 BP: 160/92 Temp: 98 Pulse: 70 Resp: 18 Labs: CBC: WBC: 10.2 HGB: 13 HCT: 40 PLT: 326 BMP: Glucose: 145 BUN: 28 Creat: 1.5 K: 3.9 CrCl 50 mL/min LFT: AST: 35 ALT: 42 Alk Phos: 35 Question Nurse Administrator Students: Consider that you are the nurse manager for unit in an acute care facility and starting an anticoagulation clinic. You are developing standards and guidelines for staff and physicians related to a patient with a deep vein thrombosis (DVT). Please answer the following questions based on the case study. Your answers should be brief and to the point for ALL questions. The word count is outlined within each question. Points will be deducted for going over the word limit for each question. 1. Discuss the pathophysiology of a DVT. (in no more than 150 words) 2. List the tests that are commonly included in a coagulation panel and briefly describe what the test measures and why each is needed. (in no more than 150 words) 3. Explain thrombolysis and why it may be included in the original treatment of a DVT. (in no more than 100 words)

Quick Response

Deep Venous Thrombosis (DVT) is the scenario where blood clots in a deep vein of an extremity or the pelvis(Cheng, 2012). DVT is known to cause pulmonary embolism primarily. The major coagulation test conducted is a complete blood count. The results of the test alert existence of instances where the platelet count is low and in the capacity of interfering with the ability to clot. Another test includes a thrombin time test, which measures how well as well how long it takes the blood to clot. Normal clots take 25-30 seconds. This approach is suitable for monitoring patients under medications that influence clotting. Thrombolysis is a treatment meant for dissolving dangerous clots and improve blood flow…

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