The nurse is assigned to care for a patient with a history of thromboembolism but in whom conventional anticoagulant therapy is contraindicated due a recent spinal injury. The nurse adds which preventative measure to the patient’s plan of care to prevent thromboembolism?

Question

The nurse is assigned to care for a patient with a history of thromboembolism but in whom conventional anticoagulant therapy is contraindicated due a recent spinal injury. The nurse adds which preventative measure to the patient&rsquo;s plan of care to prevent thromboembolism?

Accepted Answer

Sequential compression devices. Non-pharmacologic means are an important aid in the prevention of thromboembolism, especially in hospitalized patients.  Sequential compression devices, when used properly, are an effective aid in the prevention of thrombus formation, even in patients with limited or no mobility.  They should not be used as monotherapy however and are best used in conjunction with anticoagulant therapy.  Daily exercise does aid in the prevention of blood stasis but has not been linked to a direct antithrombotic effect.  Vitamin K is a co-factor in multiple clotting reactions.  In fact, vitamin K supplements would promote clotting.  While adequate hydration may help prevent clotting, aggressive hydration is not needed.

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