100 Q&A About Deep Vein Thrombosis & Pulmonary Embolism by Andra H. James

By Andra H. James

A hundred Q&A approximately Deep Vein Thrombosis and Pulmonary Embolism through Andra H. James. Jones and Bartlett Publishers,2007

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Additional resources for 100 Q&A About Deep Vein Thrombosis & Pulmonary Embolism [PB,2007]

Example text

Six months later, I was 22 Diagnosis and Symptoms 1 0 0 Q & A A b o u t D E E P V E I N T H R O M BO S I S told to stop the Coumadin®, start an exercise program, and take an aspirin a day. I did this for 30 years without another episode. Two years ago, I contracted a case of Rocky Mountain spotted fever from a tick bite. I spent almost a week in bed with high fevers. A couple of nights later, I awakened with severe cramps in my lower ribcage. Hoping the problem would go away, I didn’t wake my wife.

David’s story: After two PEs, I am on Coumadin® for the rest of my life. I have found that living with Coumadin® and watching one’s diet can be tricky. I have to get my INR checked periodically at the anticoagulation clinic, and I have to be diligent about my food intake. I had an enlightening experience after I decided that the 15 pounds I picked up during a vacation (due to lots of calories and inactivity) had to be removed quickly. I went on a crash diet. I starved myself for 72 hours (no food intake).

28. What is a vena caval filter? A vena caval filter is a filter that is placed in the inferior vena cava, the large vein that carries blood from the legs and abdomen to the heart (See Question 2). This filter acts like a sieve, allowing blood to pass but blocking clots from traveling to the lungs. Vena caval filter A device inserted to prevent PE in patients with DVT and/or PE when anticoagulants fail or cannot be used. Venal caval filters are placed primarily in two situations. First, they are placed in patients with DVT or PE who have active bleeding or a very high perceived risk of bleeding, so that anticoagulation would be especially unsafe for those individuals.

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