Age/Sex 66years.Female
Name of patient: Winter,Peter.
Admitted 02 /19/13.
Admitting Doctor: Dr. Don’t Hate.
MR: Q0000889664
Unit # Q00000006
Location: 5NorthEast
Room5105A.
CODE STATUS:Full Code.
Diagnosis: Thrombophlebitis of the left leg.
Alert and oriented x4
Allergy NKDA .
Activity: Bedrest.
Room air.
Maintain 02 saturation >92%.
Thrombophlebitis is the inflammation of blood vessels. Signs and symptoms pain, swelling, redness, warm at site,low grade fever,positive Homan’s signs(Pain in upper calf on dorsiflexion of foot).
TREATMENT:
Good skin care for bedrest.
Stool softeners.
Deep breathing exercises.
Elastic wraps from toe.
On air mattress and heel pads for protection.
Bedrest for 5 to 7 days to prevent disgorgement of clot,prevent skin breakdown.This is very important.
QUESTIONS:
What is the most essential items for the nurse to have available?.Answer : Air mattress and heal pad.
Why should this patient be on bedrest?.
Answer: To prevent dislodgement of clot.
Stool softeners?.Why?
Answer: patient is placed on Bedrest.
What is Thrombophlebitis?.
About 6hours after a client delivered of a term infant, the nurse helps her to Ambulate .The nurse would explain to the patient that the primary purpose of walking is to prevent:
Answer: Thrombophlebitis.
The doctor orders IV fluids, a central line and indwelling catheter for a patient admitted with a gunshot wound. The patient’s urinary output is 15ml per hour. Appropriate nursing diagnosis would be alteration in urinary elimination secondary to what?
Answer : Extracellular volume depletion.
A 40 years old woman visit her doctor with a complaint of right calf tenderness and pain.In reviewing the patient health care history, the nurse should conclude that which of the following would cause the patient to develop Thrombophlebitis?
Answer: Use of oral contraceptives. Risk is reversible if medication is withdrawn.
Nurses You Move Me 