DVT/ VTE Update Deep Vein Thrombosis/ Venous Thromboembolism. What is DVT/VTE. Is a condition where a blood clot forms inside the deep vein usually occurs in the lower leg SMH calls DVT/VTE= the “killer legs”. Incidence. Incidence.
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Deep Vein Thrombosis/
Hx of DVT or P.E.
Hx of HITT
BMI > 30
Birth Control Pills
Central Venous Line
Orthopedic and Major SurgeriesSMH DVT/VTE Screening Tool
Venous Thrombus are triggered by Virchow’s triad which are:
Low risk- pt age<40 minor surgery
Moderate risk– pt age 40-60, minor surgery with additional risk factor
SCD mechanical device and TED
May need unfractionated heparin(UFH) or low molecular weight heparin (LMWH)Risk Levels for DVT Prophylaxis
High risk-pt age >60, pt age 40-60 with additional risk factors
Highest risk – pt with multiple risk factors, hip or knee arthroplasty and spinal cord injury
Requires UFH, or LMWH with SCD and TED hose
Requires LMWH with SCD
UFH or LMWH with TED hoseRisk Levels for DVT Prophylaxis
Moderate to High Risk (more than 2 risk factors)
Low to Modearate Risk (1 risk factor)
No Risk Factors