{"id":860,"date":"2022-12-06T10:07:58","date_gmt":"2022-12-06T10:07:58","guid":{"rendered":"https:\/\/perioperative1001.slc-courses.ca\/?p=860"},"modified":"2023-05-01T16:43:17","modified_gmt":"2023-05-01T16:43:17","slug":"module-5-c2-venous-thromboembolism","status":"publish","type":"post","link":"https:\/\/perioperative1001.slc-courses.ca\/?p=860","title":{"rendered":"Module 5: C2. Venous Thromboembolism"},"content":{"rendered":"\n<div class=\"wp-container-7 wp-block-columns\">\n<div class=\"wp-container-1 wp-block-column\" style=\"flex-basis:66.66%\">\n<h2>Venous Thromboembolism<\/h2>\n\n\n\n<p>What are venous thromboembolism events?<\/p>\n\n\n\n<ul><li><strong>Deep Vein Thrombosis (DVT):<\/strong> A blood clot forms in the deep veins.<\/li><li><strong>Pulmonary Embolism (PE): <\/strong>This occurs when the clot from the DVT escapes the vein wall and finds its way into the bloodstream and <a id=\"post-242-_Int_KzJ6Shdv\"><\/a>then to the lungs. A large clot can be fatal.<\/li><\/ul>\n\n\n\n<p>(Spruce, 2020)<\/p>\n<\/div>\n\n\n\n<div class=\"wp-container-6 wp-block-column\" style=\"flex-basis:33.33%\">\n<div class=\"wp-container-5 wp-block-columns\">\n<div class=\"wp-container-2 wp-block-column\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" width=\"175\" height=\"671\" src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/blod-1.png\" alt=\"\" class=\"wp-image-417\" srcset=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/blod-1.png 175w, https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/blod-1-78x300.png 78w\" sizes=\"(max-width: 175px) 100vw, 175px\" \/><figcaption>Normal Blood Flow<\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-container-3 wp-block-column\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" width=\"175\" height=\"671\" src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/blod2.png\" alt=\"\" class=\"wp-image-418\" srcset=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/blod2.png 175w, https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/blod2-78x300.png 78w\" sizes=\"(max-width: 175px) 100vw, 175px\" \/><figcaption>Deep Vein Thrombosis<\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-container-4 wp-block-column\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" width=\"174\" height=\"802\" src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/blod3.png\" alt=\"\" class=\"wp-image-419\" srcset=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/blod3.png 174w, https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/blod3-65x300.png 65w\" sizes=\"(max-width: 174px) 100vw, 174px\" \/><figcaption>Embolus<\/figcaption><\/figure>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Risk Factors<\/h5>\n\n\n\n<div class=\"slider\">\n    <div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-18.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Age <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-19.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Pregnancy <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-20.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Estrogen oral contraceptive medications <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-21.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Obesity <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-22.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Immobility <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-23.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Trauma <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-24.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Varicose veins with phlebitis <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-25.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Dehydration <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-26.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Myocardial infarction <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-27.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Lowered limbs intraoperatively (knee arthroscopy) <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-28.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Trendelenburg position (intraoperative) <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-29.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Patient in stirups intra-op <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-30.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Central Venous Catheter <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t<div class=\"slide\">\n        <div class=\"slide-content\">\n          \n            <img src=\"https:\/\/perioperative1001.slc-courses.ca\/wp-content\/uploads\/2022\/12\/word-image-242-31.png\" width=\"25%\">\n            <h6 class=\"slide-name mb30\"><\/h6>\n            <p class=\"slide-description\"><strong>Post op patients <\/strong><\/p>\n         <\/div>\n    <\/div>\n\t\n\n<\/div>\n\n\n\n<p>(ORNAC 15th ed, 2021)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div class=\"wp-container-10 wp-block-columns\">\n<div class=\"wp-container-8 wp-block-column\">\n<p><strong>Common Signs and Symptoms of DVT<\/strong><\/p>\n\n\n\n<ul><li>Leg pain and aches<\/li><li>Swelling of entire leg with a difference in circumference of &gt;3cm<\/li><li>Pitting edema<\/li><\/ul>\n\n\n\n<p><strong>Common Signs and Symptoms of PE<\/strong><\/p>\n\n\n\n<ul><li>Rapid breathing<\/li><li>Tachycardia<\/li><li>Hypotension<\/li><li>Wheezing<\/li><li>Chest pain during inspiration<\/li><li>Cyanosis<\/li><\/ul>\n<\/div>\n\n\n\n<div class=\"wp-container-9 wp-block-column\">\n<p><strong>Prevention\/Interventions<\/strong><\/p>\n\n\n\n<ul><li>Surgical patients are assessed for the risk of VTE and bleeding.<\/li><li>The preoperative risk assessment by the surgical team determines the most appropriate VTE prophylaxis for the patient.<\/li><\/ul>\n\n\n\n<p>(Cine-Med AORN, 1993)<\/p>\n\n\n\n<svg style=\"display:none\" class=\"animated\" id=\"freepik_stories-dizzy-face\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 500 500\" version=\"1.1\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" 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