NURS 320 Lecture Notes - Lecture 1: Deep Vein Thrombosis, External Iliac Vein, Atrial Flutter
14 Dec 2017
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Document Summary
You are assigned to care for l. j. a 70-year-old bus driver who has just been admitted to your medical floor with right leg deep vein thrombosis (dvt). L. j. has a 48 pack year smoking history, although he states he quit 2 years ago. He has had pneumonia several times and frequent episodes of atrial flutter or fibrillation. He has had two previous episodes of dvt and was diagnosed with rheumatoid arthritis 3 years ago. Two month ago he began experiencing shortness of breath on exertion and noticed swelling of his right lower leg that became progressively worse until it extended up to his groin. His wife brought him to the hospital when he complained of increasingly severe pain in his leg. When a doppler study indicated a probably thrombus of the external iliac vein extending distally to the lower leg, he was admitted for bed rest and to initiate heparin therapy.
