Venous Thromboembolism. A Nurse's Guide to Prevention and Management

  • ID: 2172014
  • Book
  • 266 Pages
  • John Wiley and Sons Ltd
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Written primarily with nurses in mind, this book provides a comprehensive overview of venous thromboembolism, a condition that rears its head regardless of specialty, killing thousands of people around the world in hospital beds and in the community alike. This book explains what it is, what symptoms to watch out for, how patients should be managed, and perhaps most importantly, how to prevent its development in those at risk.

Based on the most up–to–date published guidelines on the subject, the book is pitched at a level appropriate for medical and nursing staff alike, covering basic pathophysiology and clinical management. A chapter is devoted to specific nursing interventions, giving practical tips alongside the theory. Case studies are used extensively, alongside tables, diagrams and text boxes, to illustrate important points.

Although designed to be read as a whole, each chapter can be used as a reference to address specific queries, enabling health professionals to develop a greater understanding of the condition to provide optimal patient care.

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Contributors vii

Preface ix

Acknowledgements xi

Chapter 1 What is VTE? 1

An Introduction 1

The Scale of the Problem 4

A Timeline of Our Understanding 8

Chapter 2 Pathophysiology 21

Anatomy of the Lower Limb Veins 21

Virchow’s Triad 25

Venous Thrombus Formation 27

The Coagulation Pathway 32

Chapter 3 Risk Factors 41

Introduction 41

Risk Assessment 42

Risk Factors 44

Chapter 4 Prophylaxis 69

Evidence for Prevention 69

Methods of Prophylaxis 74

Consensus Guideline Recommendations 77

Chapter 5 Deep Vein Thrombosis 89

Signs and Symptoms 90

Differential Diagnosis 95

Investigations 99

Treatment 108

Upper Extremity DVT 111

Thrombosis in Children 115

Chapter 6 Pulmonary Embolism 125

Signs and Symptoms 126

Investigations 128

Treatment 139

Chapter 7 Pharmacological Management of VTE 151

Introduction 151

Vitamin K Antagonists 152

Unfractionated Heparin 175

Low Molecular Weight Heparin 180

Newer Anticoagulants 185

Chapter 8 Nursing Interventions 195
Written by Lynda Bonner

Practical Thromboprophylaxis 196

Implementation 207

Informing the Patient 224

Appendices 229

Glossary 241

Index 251

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Ellen Welch is a senior house officer, currently based at the Liverpool School of Tropical Medicine where she is undertaking the Diploma in Tropical Medicine and Hygiene.

She qualified from the University of Liverpool with degrees in both medicine (MBChB) and medical journalism and spent a year in the city completing house jobs. She gained SHO experience in a number of specialities in New Zealand, including emergency medicine, paediatrics and obstetrics and gynaecology. A job in the acute medical unit at The Royal Liverpool hospital introduced her to the problem of VTE and she has since been involved in audits in both the UK and New Zealand looking into the issue.
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