Question

Patient A.B. is a 70-year-old male who had a right total knee replacement done yesterday. His past medical history includes osteoarthritis, hypertension, high cholesterol, diabetes mellitus, and GERD. During your initial shift assessment, the patient is noted to have swelling in his right calf and reports tenderness to touch in the calf region. You ask him to dorsi/plantar flex his right foot against resistance from your hand, and he indicates that the pain in his calf worsens with flexion. You suspect the patient has a DVT.

1. What other signs and symptoms might you expect to find in this focused assessment?

2. Based on the results of your assessment, what do you do? What type of further follow-up might be needed?

Answer 1

Nursing Manager Compression stocking :- To help prevent swelling associa with deep rein thrombosis, - Brouide comfort": • Elevation & the affected extremity, graduated compression stocking a • warm application ambulation are adjuncts to the therapy that can remore as reduce discomfort Positioning and exercise - when patient is anbed rest, the teet and lower legs should be elevated periodically" above the level of the heart and active and pasire leg exercise should be performed to increare resous flow. Further follow up : = 1. Approximately 60% patients will recover from a og Drt without angresidual symptoma, 40% will have some legree of post-thrombotic syndrome and af will have senare symptoms. These include - - 1. feeling of heaninen freg. 2. Itching , tingling or crampling in legs. 3. leg pain that worse with standing betton restins. 9. midening of leg nein. So, In further follow up nurse have to assess for them signs. 2. Have to ask patient that he is calling more truetscos 3. Ask him to do not ? exercise c. Have to teach him to take medication in regula after V bonis 5. Have to instruct him to come for follow up,