1. Deep Vein Thrombosis (DVT)

2. Deep Vein Thrombosis Blood clot in a vein
250,000 to 300,000 admissions
Major risk: blood clot will break loose and travel
clot lodges in smaller blood vessel of lung
called pulmonary embolism

3. Causes Slowed blood flow Damage to blood vessels
Changes in the blood itself

4. Symptoms
Swelling
Warmth
Pain or tenderness
Redness

5. Major Risk Factors Prolonged bedrest Abnormal blood clotting
Major trauma
Surgery
Cancer
Paralysis

6. Minor Risk Factors Certain health conditions Airplane flight Pregnancy
Increasing age
Obesity
Birth control pills
Smoking

7. Goals of Treatment Prevent the clot from becoming larger
Prevent pulmonary embolism
Prevent postthrombotic syndrome
Prevent the recurrence of blood clots

8. Symptoms: Pulmonary Embolus
Sudden, sharp chest pain
Shortness of breath
Chest pain that worsens with breathing or coughing
Coughing up blood
Rapid pulse
Sweating
Anxiety

9. Postthrombotic Syndrome
Brownish discoloration of skin
Swelling of legs
Pain in the legs
Sores on legs that heal slowly
Itching
Fragile skin that bruises easily

10. Dietary Considerations
Effect of Vitamin K
Green, leafy vegetables (kale, spinach, collard, turnip & mustard greens) are high in Vitamin K
No supplements with Vitamin K

11. Anticoagulants Prevent new clots from forming
Prevent existing clots from growing
DO NOT BREAK UP or DISSOLVE EXISTING BLOOD CLOTS

12. Anticoagulants
Heparin
Warfarin
3 to 6 months

13. Additional Topics Thrombolytics Aspirin Statins
Rapidly dissolve blood clots
Used in very specific situations
Aspirin
Statins