Deep vein thrombosis - Mrs B, aged 45

 

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case study 5 -  deep vein thrombosis
 
 

Mrs B, a 45 year old woman with 2 children and no immediate access to 24 hour child care, contacted her GP following 3 days of pain, swelling and redness in her left lower leg.  Otherwise she was well, subject to monitoring by her GP for possible raised hypertension.  She had returned from an overseas holiday ten days previously, reinforcing a diagnosis of DVT resulting from her flight.

The GP referred Mrs B to MediHome.  The MediHome Nurse arranged for phlebotomy and delivered a 5 day course of Clexane injections under the oversight of the GP.  Mrs B attended her local acute hospital for outpatient ultrasound and X ray tests.  Further blood samples were taken in the patients' home by the MediHome Nurse who arranged for delivery to the laboratory.  The MediHome Nurse visited twice daily, administering Clexane and phlebotomy in the morning and updating the warfarin dosage in the evening under direction from the laboratory and the GP. 

MediHome Nurses visits ceased after six days once the warfarin dosage had stabilised.    

 

NB The following case studies illustrate how a variety of patients have benefited from care by MediHome Nurses. These case studies are based on real situations and refer to actual services provided by MediHome but the precise details have been modified to protect the identity of individual patients.