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 Statement...
...Advocate for a culture of mobility and ph...
...During initial interview and physical examination...
...ment 3. When a patient presents with...
...4. When a patient is identified as high risk for...
...ment 5. When a patient presents with pain, t...
...6. When a patient present with cl...
...tatement 7. When a patient presents with dyspnea...
...8. When a patient presents with a recently...
...ith a recently diagnosed VTE treated pharma...
...10. When a patient with a recently di...
...t 11. When a patient with a rece...
...When a patient has a newly diagnosed LE DVT, do no...
Statement 13. When a patient has an inferior...
...tement 14. When a patient presents with a docu...
...atement 15. When a patient with a non-mass...
Statement 16. When a patient presents w...
...tement 17. When a patient with a documente...
...nt 18. When a patient presents with long...
...ment 19. When a patient presents with si...
...Prediction ScoreHaving trouble viewing table...
...Khorana Risk ScoreHaving trouble viewing table?...
...s Criteria for the Prediction of Dee...
Table 4. The Revised Geneva Clinical Pr...
...rrent Anticoagulation Options for VTE Tre...
...e 6. Long Term Medical Management...
...7. Risk Factors of Increased Bleeding...
...ion of Hemodynamic InstabilityHaving trouble v...
...BLED ScoreHaving trouble viewing table? Expand...
Table 10. Classification of PE and Ris...
Figure 1. Actions for a Suspected UE or LE De...
...gure 2. Constans Criteria...
...Mobilization with an Acute UE or LE DV...
Table 11. Risk of Recurrent VTEHaving t...