General measures Immobilization is not required for venous thrombosis of any localization and morphology! This serves exclusively to relieve the symptoms of severely painful leg swelling (regardless of thrombus localization and morphology). In contrast, mobilization is an important measure. Note: A regularly performed anticoagulation should be present, however. 3 x L and 3 x S … Thrombosis: Therapy
Definition A decrease in the number of platelets due to the administration of heparin is called heparin-induced thrombocytopenia (HIT). A distinction is made between two forms, the non-immunological form (HIT type I) and the antibody induced form (HIT type II). Introduction The word thrombocytopenia refers to a deficiency of thrombocytes, i.e. blood platelets. The word … Heparin-induced thrombocytopenia (HIT)
Causes Heparin-induced thrombocytopenia are either formed as a non-immunological, harmless early form (type I) or are based on the formation of antibodies against platelet factor 4/heparin complex (type II). These cause the blood to clump together and the platelets are, so to speak, “caught away” or “trapped”, they can no longer perform their natural function.Unfractionated … Causes | Heparin-induced thrombocytopenia (HIT)
Therapy The most important step in therapy is the immediate discontinuation of heparin if type II HIT is suspected. Also all other drugs containing heparin must not be used any further to prevent possible complications. These include ointments or catheter irrigations containing heparin. The anticoagulant therapy must be changed to non-heparin-based substances in order to … Therapy | Heparin-induced thrombocytopenia (HIT)
What are compression stockings? Compression stockings are a medical aid both in therapy and in the prophylaxis of thrombosis to support venous blood flow. For certain reasons, however, the blood composition can also change the flow ratio in the venous vessels of the legs, so that the blood flow from the periphery of the legs … Compression stockings
Classification Compression stockings are divided into different classes according to the pressure exerted by the stocking on the leg tissue. This means that compression stockings can always be prescribed in variable strengths according to requirements. A total of 4 classes are distinguished: moderate with pressures of 18-21 mmHg, medium (23-32 mmHg), strong (34-46 mmHg) and … Classification | Compression stockings
Washing The material of compression stockings is nowadays very pleasant both in wearing comfort and care. Usually it is an elastic material, which is also breathable and permeable to air. As compression stockings are worn regularly and are tight-fitting, it is not possible to avoid odours or sweat despite the special material. Therefore, the compression … Washing | Compression stockings
Compression stockings at night As a rule, compression stockings are only worn during the day. The length of time the stockings are worn can vary individually depending on the severity of the symptoms. In most cases, at least 8 hours per day are indicated. At night the stockings can be omitted because gravity has less … Compression stockings at night | Compression stockings
Post-operative thrombosis prophylaxis is a set of measures and medications used after an operation (=post-operative) to avoid the risk of thrombosis (blood clotting). In the case of a blood clot, it is particularly feared that the blood clot is transported further with the help of the blood (embolus) and reaches the lung, blocks a vessel … Postoperative thrombosis prophylaxis
Non-drug postoperative thrombosis prophylaxis If one or more risk factors are present, the patient should take thrombosis prophylaxis postoperatively. Depending on how many risk factors are present and how serious they are, only non-drug treatments can be used initially. Especially young patients who have had a broken leg, for example, but are otherwise fit, usually … Non-drug postoperative thrombosis prophylaxis | Postoperative thrombosis prophylaxis
Medication postoperative thrombosis prophylaxis Particularly in older patients who can no longer be mobilized or in patients who have several risk factors, it makes sense to use drug-based postoperative thrombosis prophylaxis. In this case, drugs are used that inhibit blood coagulation and thus ensure that the blood platelets (thrombocytes) do not stick together and form … Medication postoperative thrombosis prophylaxis | Postoperative thrombosis prophylaxis
Definition Postthrombotic syndrome (PTS) is the most common late complication after leg vein thrombosis (closure of a vein by a blood clot). It leads to chronic reflux congestion, so that the blood cannot flow back to the heart properly. The blood therefore bypasses the partially occluded veins by switching to continuous veins (so-called bypass circulation), … Postthrombotic syndrome
