Preventing Blood Clots While in the Hospital

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2014 Preventing Blood Clots While in the Hospital

Preventing Blood Clots While in the Hospital This pamphlet will explain: 1. What blood clots are and how they can happen in your body. 2. What your healthcare team will do to help prevent a blood clot from happening to you. 3. How you can tell if you might have a blood clot. 4. What you can do to help stop a blood clot from happening in your body. 1

What are blood clots and why do they happen? Blood clots are common. Blood normally clots (thickens) to stop a wound from bleeding. If a clot forms inside your body, it can get in the way of normal blood movement, like a rock blocking the flow of water in a stream. Blood clots can cause serious harm to the body and may even cause death. Blood clots can happen to anyone. They are most common in people who are sick, people who need to be in hospital, or people who need to have an operation (surgery). Deep vein thrombosis and pulmonary embolisms Blood clots that happen in the deep veins are called deep vein thrombosis ( throm-boh-sis ) or DVT. The blood clot may get big enough to block the blood flow to an arm or a leg. Blood clots can break off from a DVT and travel to the lungs. A travelling blood clot is called an embolus ( em-buh-luhs ). A clot that travels into the lungs is a serious condition called pulmonary embolism ( pull-mun-ary em-buh-liz-um ) or PE. The clot can get stuck in the arteries of the lung, blocking blood flow to your lung tissue. 2

What is my healthcare team doing to help prevent me from getting a DVT or PE? We are committed to your safety. Here are a few things we will do to help stop a blood clot from happening to you: We will assess (check) you for risk factors for blood clots. We may give you anticoagulants ( an-tee-ko-ag-u-lants ). This is blood-thinning medication given by injection or by mouth to prevent blood clots. We will ask you to get out of bed to walk as much as possible. This is important in preventing blood clots, and for your overall recovery. We will help you get up and walk if you cannot do this by yourself. We may give you compression stockings (often called TEDS ) to wear on your legs. These are special stockings that help blood flow in your legs which can help prevent blood clots. If you are having surgery, we may give you a sequential compression device (SCD) to wear. This is a sleeve containing air tubes that are wrapped around the leg and thigh. Air is then pumped into different parts of the sleeve to helps blood flow and this may prevent a blood clot. 3

How can I tell if I might have a blood clot? We can t always tell if someone has a blood clot, but sometimes there are warning signs. It is important for you to tell a nurse or doctor if: Your leg or arm swells up and hurts Your leg or arm feels warmer than usual when you touch it Your chest suddenly starts hurting You have trouble breathing or suddenly start breathing faster You start coughing up blood What can I do to help prevent myself from getting a blood clot? Ask your doctor or nurse, What is being done to lower my chance of getting a blood clot? Take the anticoagulant or blood-thinning medication if given to you. This will lower the chance of abnormal clotting of blood in your veins. Wear your compression stockings ( TEDS ), if you have been asked to do so. Drink plenty of fluids, but check with your nurse first to make sure that this is right for you. If you have just had an operation, you may be getting fluids through your intravenous (IV). Ask your nurse to see how much fluid you can drink. Move your legs often and walk as soon as your healthcare team says it is safe to do so. 4

Going home There is a chance that you could still get a blood clot after you go home from the hospital. If you have any of the warning signs such as leg swelling and pain, chest pain and/or trouble breathing, please seek medical attention right away. If you have any questions, please ask. We are here to help you. Notes: 5

Looking for more health information? Contact your local public library for books, videos, magazines, and other resources. For more information go to http://library.novascotia.ca Capital Health promotes a smoke-free, vape-free, and scent-free environment. Please do not use perfumed products. Thank you! Capital Health, Nova Scotia www.cdha.nshealth.ca Prepared by: Performance Excellence Designed by: Capital Health Library Services, Patient Education Team Printed by: Dalhousie University Print Centre The information in this brochure is provided for informational and educational purposes only. The information is not intended to be and does not constitute healthcare or medical advice. If you have any questions, please ask your healthcare provider. WX85-1542 Created August 2014 The information in this pamphlet is to be updated every 3 years.