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Complications During Hospitalization
THROMBOEMBOLIC
EVENTS
Whether an ischemic stroke is due to a noncardiogenic
or cardiogenic source, the mechanism of causing a stroke is
the same. Both sources are involved with the development of
thrombi or emboli that move from their original source to
the brain blocking blood flow in the process. Known as Virchow’s
triad, venous stasis, vascular injury, and hypercoagulability
are major components in the development of thrombi.
Venous Thrombosis
Definition:
Blood clot formed due to blood changes in which cellular
material, such as red and white blood cells and platelets,
become bound together by fibrin strands. Deep Vein Thrombosis
(DVT), forming in the veins of the lower limbs, are the
most common emboli associated with pulmonary emboli.
Signs/Symptoms:
Nonspecific; pain, tenderness, swelling, discoloration (paleness
or redness) in lower extremities.
Pulmonary Embolism
Definition:
Thrombus arising within the circulatory system and obstructing
pulmonary blood flow in the pulmonary artery or any of its
branches.
Signs/Symptoms:
Nonspecific, insensitive, clinically silent.
Common signs -- dyspnea, tachypnea, chest pain, shock, hemoptysis
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