= Amputation ™ Surgery lm Congestive heart failure mB Vascular I Diabetes Altered mentation/coma & Malnutrition § Decreased level of @ Neuromuscular dysfunction activity lm Obesity IN Decreased sensation Peripheral nerve involvement Edema @ Polyneuropathy Inflammation Prior scar Ischemia Spinal cord involvement Pain Symptoms of DVT Symptoms of Pulmonary Embolism Swelling of leg Shortness of breath Warmth & redness of Chest pain, wideep breaths leg Pain, noticeable when Coughing up phlegm wiblood; standing/walking streaking/fiecksRisk Factors for DVT DVT more likely to occur in people: IB Age >40 yr ‘ Pregnancy/childbirth: due @ Prolonged bed rest to hormone changes; risk (immobility) highest just after childbirth 1 Major injuries or paralysis ‘Ml Using contraceptives @ Surgery, especially leg joints wiestrogen ‘or pelvis @ HRT Bf Cancer & its treatments @ Other circulation or heart i Long-distance travel: problems prolonged immobility Deep vein thrombosis0123456789 10 OO® No Pain at All Moderate Pain Worst Pain Ever Pin Assessment. (From Meyers E. RNotes: Nurse's Clinical Pocket ‘Guide Fhledsipva, FA Davis Gov 2003, p. 23)