Venous thromboprophylaxis in acutely ill patients: nursing role.
Venous thromboembolism (VTE) is a serious medical problem and is one of the most important preventable causes of mortality and morbidity in hospitalized patients. This article reviews the prevention of VTE with thromboprophylaxis in acutely ill general medical patients. We review recent studies which show that general medical patients are at moderate risk of VTE and that low-molecular-weight heparin reduces this risk. Nurses have a key role to play in changing clinical practice by increasing awareness of the risk of VTE in medical patients, helping in the process of risk assessment and ensuring appropriate prophylaxis.
Wilmott
Rosalind
R
Academic Department of Surgery (Vascular Diseases Research Group), Guy's, King's and St Thomas' School of Medicine, London.
Alikhan
Raza
R
D000925:Anticoagulants / Q000627:therapeutic use; D019091:Critical Pathways; D017984:Enoxaparin / Q000627:therapeutic use; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D024802:Nurse's Role; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D013923:Thromboembolism / Q000451:nursing* / Q000503:physiopathology / Q000517:prevention & control*; D015912:Thrombolytic Therapy / Q000451:nursing*; D020246:Venous Thrombosis / Q000451:nursing* / Q000503:physiopathology / Q000517:prevention & control*
D000925:Anticoagulants; D017984:Enoxaparin; D006495:Heparin, Low-Molecular-Weight