Ultrasound reveals an occlusive thrombus following PICC placement

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“Forty-eight hours after the PICC is placed, it’s removed due to swelling of the arm. The plan to give PN peripherally is abandoned when CS complains of pain at her peripheral I.V. sites. ” Lee (2014).

Reference:

Lee, A. (2014) Factor V Leiden. Nursing. 44(6), p.10-12.

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Extract:

“Forty-eight hours after the PICC is placed, it’s removed due to swelling of the arm. The plan to give PN peripherally is abandoned when CS complains of pain at her peripheral I.V. sites. She’s discharged 4 days later with a prescription for pain medication, a combination of acetaminophen and hydrocodone. Her edematous right arm is immobilized via a sling.Six days later, she returns to the ED with continued pain, swelling, and diminished color of the right arm. An ultrasound reveals an occlusive thrombus in the right brachial, basilic, and axillary veins with extension into the subclavian vein, and a narrowed but patent internal jugular vein.”

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