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    SAS 18 MCN

    Uploaded by

    Kristinelou Marie N. Reyna
    1. SCDs should be worn by patients anytime they are in bed or sitting to help prevent DVTs, not just at bedtime. The only exception is when ambulating. 2. Signs and symptoms of DVT include redness, swelling, warm extremity, pain, positive Homan's sign, and unilateral swelling. 3. Homan's sign is not a reliable test for DVT because it can produce false positives.

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    SAS 18 MCN

    Uploaded by

    Kristinelou Marie N. Reyna
    121 views2 pages
    1. SCDs should be worn by patients anytime they are in bed or sitting to help prevent DVTs, not just at bedtime. The only exception is when ambulating. 2. Signs and symptoms of DVT include redness, swelling, warm extremity, pain, positive Homan's sign, and unilateral swelling. 3. Homan's sign is not a reliable test for DVT because it can produce false positives.

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    SAS 18 mcn

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    1. SCDs should be worn by patients anytime they are in bed or sitting to help prevent DVTs, not just at bedtime. The only exception is when ambulating. 2. Signs and symptoms of DVT include redness, swelling, warm extremity, pain, positive Homan's sign, and unilateral swelling. 3. Homan's sign is not a reliable test for DVT because it can produce false positives.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    121 views2 pages

    SAS 18 MCN

    Uploaded by

    Kristinelou Marie N. Reyna
    1. SCDs should be worn by patients anytime they are in bed or sitting to help prevent DVTs, not just at bedtime. The only exception is when ambulating. 2. Signs and symptoms of DVT include redness, swelling, warm extremity, pain, positive Homan's sign, and unilateral swelling. 3. Homan's sign is not a reliable test for DVT because it can produce false positives.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 2

    RATIONALE

    1. Yes, the nurse would apply SCDs per MD order to help prevent DVTs, BUT they are
    to be applied and worn by the patient anytime they are in bed or sitting. The only time a
    patient should not wear the SCDs is when they’re ambulating. Therefore, the nurse
    would NOT just apply them at bedtime but during the day too.

    2. The answers are C, D, E, and F. Signs and symptoms of a DVT include: redness,
    swelling, warm extremity, pain, positive Homan’s Sign, and swelling (which can be
    unilateral, meaning there is more swelling in one extremity compared to the other).

    3. The answer is FALSE. Homan’s Sign is NOT a reliable method for assessing for a
    DVT. It can lead to FALSE positives.

    4. Ask the mother to urinate and empty her bladder.

    5. Anticoagulation therapy may be used to prevent the extension of thrombus by


    delaying the clotting time of the blood. Activated partial thromboplastin time should be
    monitored. and a heparin dose should be adjusted to maintain a therapeutic level of 1.5
    to 2.5 times the control. For options A and B, the prothrombin time and the INR are
    used to monitor coagulation time when warfarin (Coumadin) is used.

    6. Protamine sulfate is a heparin antagonist given intravenously to counteract bleeding


    complications caused by heparin overdose. Calcium gluconate is the calcium salt of
    gluconic acid, an intravenous medication used to treat conditions arising from calcium
    deficiencies such as hypocalcemic tetany and hypocalcemia. While methylergonovine,
    is used to prevent or treat bleeding from the uterus that can happen after childbirth or an
    abortion. On the other hand, nitrofurantoin is used to treat urinary tract infections. It is
    an antibiotic that works by killing bacteria that cause infection.

    7. Deep vein thrombosis (DVT) occurs when a blood clot (thrombus) forms in one or
    more of the deep veins in your body, usually in the legs. Deep vein thrombosis can
    cause leg pain or swelling but also can occur with no symptoms.

    8. Many factors can increase your risk to develop a DVT. In general anything that slows
    your blood flow in the legs or makes it more likely for your blood to clot will increase
    your risk for DVTs: Prolonged bed rest (such as after surgery) or sitting (traveling),
    Blood clotting disorders or cancer (some cancers increase the substances in the blood
    that lead to clotting), Birth control pills and hormonal replacement therapy can cause
    your blood to clot more easily, Trauma to the lower extremity, Family history of DVTs or
    PEs, Smoking (affects blood clotting and circulation) and Obesity (increased pressure
    on veins).

    9. Pulmonary embolism (PE) and deep vein thrombosis (DVT) usually occur as part of
    the same process. While most DVTs happen in the legs, they can also occur in other
    parts of the body such as the arms or abdomen. If a DVT is suspected, it is important to
    have a quick diagnosis and treatment to prevent PE.

    10. Half of people with DVT will experience no symptoms. When people do experience
    signs and symptoms of DVT they often include redness, warmth, tenderness, and
    swelling in the affected part of the body. See a doctor immediately if you experience any
    symptoms of DVT.

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