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
...nagement...
...ey Action Statements
...1. Advocate for a culture of mobil...
...2. During initial interview and phys...
...t 3. When a patient presents with conditions...
...When a patient is identified as high risk for V...
...tement 5. When a patient presents with...
...6. When a patient present with clinical...
...When a patient presents with dyspnea, chest pain,...
...8. When a patient presents with a recently diagno...
Statement 9. With a recently diagnosed VTE tre...
...When a patient with a recently diagnosed lowe...
...11. When a patient with a recently di...
...ent 12. When a patient has a newly diagnose...
...When a patient has an inferior vena cava (IV...
.... When a patient presents with a doc...
...ement 15. When a patient with a non-ma...
...ement 16. When a patient presents...
...atement 17. When a patient with a docume...
...tatement 18. When a patient presents wi...
...When a patient presents with signs and...
...Prediction ScoreHaving trouble viewi...
...Khorana Risk ScoreHaving trouble v...
...s Criteria for the Prediction of Deep...
...Revised Geneva Clinical Prediction RuleHavin...
...t Anticoagulation Options for VTE Treatment and...
...Term Medical Management of Venous Thromboembolis...
...able 7. Risk Factors of Increased Bleeding...
...able 8. Definition of Hemodynamic Ins...
...ble 9. HAS-BLED ScoreHaving trouble...
...able 10. Classification of PE and...
Figure 1. Actions for a Suspected UE or LE Deep Ve...
...Constans Criteria...
...re 3. Mobilization with an Acute UE or LE DVT Bas...
...able 11. Risk of Recurrent VTEHaving...