Deep Vein Thrombosis PowerPoint Presentation Example | Topics and Well Written Essays - 1250 words

Deep Vein Thrombosis - PowerPoint Presentation ExampleImmediate concerns with a diagnosis of DVT ar stroke and pulmonary embolism, as the clot in his leg could break off and cause either of these po tentially fatal situations. Mr. Roberts denies any chest pain, gruffness of breath, fever, or headaches, indicating he is not currently at risk for these concerns. DVT Cause It is important to understand the cause of Mr. Robertss DVT to prevent future clots and to increase despotic outcomes of his discussion. One of the biggest causes of DVT is surgery. Often times, surgeons can damage venous walls or intercellular matrix, releasing clotting factors and causing DVTs (sloc.org). Mr. Roberts has not had any recent surgery indicating that this is credibly not the cause of his DVT. DVT can also be caused by obesity and a sedentary lifestyle (sloc.org). Mr. Robertss BMI indicates that this is probably the cause of his DVT. In lay out to prevent future DVTs, Mr. Roberts should be counseled about increasing daily physical activity, making modifications to his diet, and the use of his hypercholesterolemia medication. Another potential cause of Mr. Robertss DVT is his hypercholesterolemia. increase lipids in the blood can form clots, which can lodge in the deep veins of the extremities and cause a DVT in some cases (sloc.org). Mr. Robertss DVT is probably exacerbated by his discontinuation of his hypercholesterolemia medication, as this behavior would increase his lipids and potentially add to previous clots or form new ones. In addition to his manipulation regimen, Mr. Roberts should be counseled on the dangers of quitting his hypercholesterolemia medication without consulting medical personnel. Treatment Regimen There are two parts to Mr. Robertss treatment regimen initial treatment and maintained treatment. The purpose of the initial treatment should be controlling Mr. Roberts partial thromboplastin time (PTT) and his INR while attempting to dissolve the clot in his leg. To obtain this, heparin is given initially in a bolus dose at 80 units/kg. After this initial bolus dose, Mr. Roberts will be on a nourishment dose of heparin at 16 units/kg. For Mr. Roberts, this means a 7000 unit bolus dose and a maintenance dose of 1640 units/hour which will continue for ten days. These doses were developed based on formulas posted on the accompanying powerpoint presentation, and were based off of calculated dosage weight (surgery.ucsf.edu). During these ten days, Mr. Robertss PTT indispensablenesss to be monitored every 6 hours until 2 consecutive in-range tests are performed. Adjustments to the dosage can be made based on the provided chart. Once in range, PTTs need to be done every 24 hours. After ten days, Mr. Roberts should be evaluated and hopefully can discontinue his heparin regimen. The maintained treatment portion of Mr. Robertss treatment regimen is warfarin. When beginning warfarin, an initial INR needs to be taken in order to calculate an ac curate dose. Based on Mr. Roberts age, BMI, and use of hypercholesterolemia medications, 3mg was contumacious as an appropriate starting dose. Mr. Robertss INR should be measured daily and I have recommended an at home testing device. Mr. Roberts dose will need to be adjusted to make sure his INR falls in the target range of 2-3. Mr. Roberts will continue the warfarin daily until he can successfully maintain an INR of 2-3 without it. This should take between three and six months, but could potentially take longer