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Preventing & Managing Post-Stroke Complications

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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This information is for educational purposes only and is not a substitute for formal education or training. Advice on the treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient's medical history.

Last Updated: April 24, 2003

 

 

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