Venous Thromboembolism
Key Points
Key Points
- Physical therapists should play a significant role in identifying patients who are at high risk for a venous thromboembolism (VTE). Once these individuals are identified, preventive measures such as referral for medication, initiation of activity or mobilization, and education should be implemented to decrease the risk of a first or reoccurring VTE.
- Physical therapists should be aware of the signs and symptoms of an VTE.
- When signs and symptoms are present, the likelihood of a VTE should be determined through the standardized tools, and the results shared with the interprofessional team to consider treatment options.
- In patients with a diagnosed upper extremity (UE) or lower extremity (LE) deep vein thrombosis (DVT), once a medication’s therapeutic levels or an acceptable time period has been reached after administration, mobilization should begin.
- Although there are risks associated with mobilization, the risk of inactivity is greater.
- In patients with a diagnosed pulmonary embolism (PE), mobility should begin as soon as the patient is medically stable and the medication administered has either reached therapeutic levels or an acceptable time period has passed.
- Complications following VTE can continue for years or even a lifetime. Physical therapists can help decrease these complications through education, mechanical compression, and exercise.
Management
...agement
...ion Statements...
...1. Advocate for a culture of mobi...
...tement 2. During initial interview and phy...
...When a patient presents with conditions...
...When a patient is identified as high risk...
Statement 5. When a patient prese...
...tement 6. When a patient present wi...
...When a patient presents with dyspnea, ch...
...8. When a patient presents with a re...
...ent 9. With a recently diagnosed VTE treate...
...10. When a patient with a recently diagnosed lo...
...nt 11. When a patient with a recently dia...
...2. When a patient has a newly diagnosed...
...ement 13. When a patient has an inferior ve...
...4. When a patient presents with a documented LE...
Statement 15. When a patient with a no...
...6. When a patient presents with a massive or subma...
...17. When a patient with a documented VTE...
...ent 18. When a patient presents with long-term...
...tement 19. When a patient presents wi...
...le 1. Padua Prediction ScoreHaving tr...
.... Khorana Risk ScoreHaving trouble viewing table...
...able 3. Wells Criteria for the Prediction...
...The Revised Geneva Clinical Prediction R...
...nt Anticoagulation Options for VTE Trea...
Table 6. Long Term Medical Managem...
...Risk Factors of Increased Bleeding...
...nition of Hemodynamic InstabilityHaving trouble...
...LED ScoreHaving trouble viewing table...
...fication of PE and Risk of Early (in-hospital or 3...
...ions for a Suspected UE or LE Deep Vein Thro...
...2. Constans Criteria...
...ilization with an Acute UE or LE DVT Based...
...isk of Recurrent VTEHaving trouble view...