Venous Thromboembolism

Publication Date: May 13, 2022

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...

...tion Statements...

...ment 1. Advocate for a culture of mobility a...

...2. During initial interview and physi...

...tement 3. When a patient presents w...

...4. When a patient is identified as high risk...

...ment 5. When a patient presents with pain,...

...6. When a patient present with clinical symptoms...

...When a patient presents with dyspnea, ches...

...tement 8. When a patient presents with...

...nt 9. With a recently diagnosed VTE treated ph...

...0. When a patient with a recently dia...

...t 11. When a patient with a recently diagnose...

...ment 12. When a patient has a ne...

...13. When a patient has an inferior vena cava (IV...

...ent 14. When a patient presents with a documen...

...15. When a patient with a non-massive, low-risk...

...16. When a patient presents with a massive o...

...When a patient with a documented VTE doe...

Statement 18. When a patient presents wit...

...When a patient presents with signs...


...ble 1. Padua Prediction ScoreHaving...


Table 2. Khorana Risk ScoreHaving troubl...


...ble 3. Wells Criteria for the Prediction...


...ble 4. The Revised Geneva Clinical Prediction R...


...Current Anticoagulation Options for VTE T...


...Long Term Medical Management of Venous...


...7. Risk Factors of Increased Bleeding...


...inition of Hemodynamic InstabilityHaving...


...able 9. HAS-BLED ScoreHaving trouble viewing ta...


...e 10. Classification of PE and Risk of...


...tions for a Suspected UE or LE Deep V...


...ure 2. Constans Crite...


...re 3. Mobilization with an Acute UE or LE DVT...


...of Recurrent VTEHaving trouble viewing table?...