A 68years old female is brought in to Emergency room by her son due to symptoms of thrombophleitis of the right leg. The doctor placed the patient on bedrest. What will be the most essential things for the primary care nurse to have available for this patient?.
A. A pain medication and exercise for 5 to 7days to prevent dislodgement of clot. B.Reading ,writing and resting.
C.Air mattress, heel pads, bedrest 5 to 7days to prevent dislodgement of clot,and skin care to prevent skin breakdown.
D.All of the above.
Correct answer is C.
Rationale :Signs and symptoms of thrombophleitis include pain, swelling, redness warm of site,low grade fever,positive homan’s( Pain in upper class on dorsiflexion of foot)
TREATMENT:
Warm packs.
Bedrest with elevated extremity.
Elevated foot of bed.
Heparin drip.
Coumadin.
Venous Thrombectomy.
NB: Follow doctor orders.
NURSING RESPONSIBILITIES.
Good skin care for bedrest.
Stool softeners.
Deep breathing exercise.
Elastic wraps from the toes up.
Nurses You Move Me 