Describe how venous thrombosis is different from arterial thrombosis.

Deep Venous Thrombosis Discussion

Compare the pathophysiology of chronic venous insufficiency (CVI) and deep venous thrombosis (DVT)

Chronic venous insufficiency (CVI) and deep venous thrombosis (DVT) are medical conditions that affect blood vessels. In this case, CVI has an influence on the legs and feet by causing them to experiencing swelling. It is caused by the valves that serve the veins in the legs weakening and resulting in incomplete closure that allows pressure to buildup. Should the issue persist then the patient is likely to likely to experience reversed flow of blood and reflux. Other than the veins weakening, CVI can also be caused by blood clots that clamp together and obstruct the blood flow in the leg veins. Once CVI occurs, the patient will report that the legs become swollen, varicose veins presented and the skin around the affected areas on the legs becoming discolored. On the other hand, DVT affects peripheral blood vesicles around the heart causing them to obstruct blood flow to the legs. Different from CVI that involves the veins in the legs being obstructed, DVT involves the veins and arteries in the periphery of the heart being obstructed (Hammer & McPhee, 2014). Deep Venous Thrombosis Discussion

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Describe how venous thrombosis is different from arterial thrombosis.

Venous thrombosis is different from arterial thrombosis. Firstly, venous thrombosis involves the veins while arterial thrombosis involves the arteries thus showing that the two have anatomical differences. Secondly, venous thrombosis involves the blood coagulation system generating thrombin thus resulting in the activation of the body’s clotting system. In contrast, arterial thrombosis involves activation of the platelets that then adhere to the artery walls, recruit other platelets before activating thrombin. This is a mechanistic difference between the two. The final difference is the risk for incidence and contributing factors. Venous thrombosis is typically associated with acquired and genetic factors. The acquired factors include surgery, bed rest for long periods, having a plaster cast, cancer incidence, and use of contraceptives. The genetic factors include impaired anticoagulation and enhancement of procoagulant potential. On the other hand, arterial thrombosis is typically associated with genetic and lifestyle factors. The genetic factors include lipid metabolism. The lifestyle factors high blood pressure, smoking habits, and lipid profile (Huether & McCance, 2017).

Explain how the patient factor you selected might impact the pathophysiology of CVI and DVT.

The selected patient factor is lifestyle that impacts pathophysiology of CVI and DVT. In this case, lifestyle influences CVI by causing buildup of fluids in the veins even as they weaken. This is experienced in the ankles and feet. As this occurs, blood clots become more common and they damage the veins. The specific lifestyles that cause this outcome include sedentary lifestyle, veins’ hypercoagulability, and injury to the veins’ inner linings. On the other hand, lifestyle impacts the pathophysiology of DVT through creating favorable conditions for fats to deposit in the walls of the peripheral veins thus reducing their diameter and hardening them. The specific lifestyles that cause this outcome include sedentary lifestyle, nerve and thyroid conditions, pregnancy, tobacco use, obesity, diabetes, and unhealthy diets (Huether & McCance, 2017).Deep Venous Thrombosis Discussion

Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

Diagnosis for CVI involves noting specific symptoms that include tired, full and aching legs, while the veins are dilated, engorged and have edema. The patient can experience relief from resting and alleviating the affected legs, with the condition likely to worsen if the patient stands or walks. The condition is treated through the legs being alleviated, subjecting the legs to pneumatic compression, using support hosiery, ingesting diuretics, engaging in walking programs to improve leg musculature, and using support stockings ion the legs (Gloviczki, 2017).

Diagnosis for DVT involves noting specific symptoms that include the legs, buttocks and feet cramping and experiencing fatigue. Muscle cramping, cold feet and pain can also be reported along with blood circulation from the heart slowing down. The symptoms can be alleviated through improving blood circulation from the heart. Treating the condition involves stimulating blood flow, using hosiery and compression socks, warming the feet, having an active lifestyle, regular exercises, avoiding smoking, and managing blood pressure (Gloviczki, 2017).

References

Gloviczki, P. (2017). Handbook of venous and lymphatic disorders: guidelines of the American Venous Forum. Boca Raton, FL: CRC Press.

Hammer, G. & McPhee, S. (2014). Pathophysiology of disease: an introduction to clinical medicine (7th ed.). New York, NY: McGraw-Hill Education.

Huether, S. & McCance, K. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby. Deep Venous Thrombosis Discussion