Case study Blood Clots Case 1

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Case study: Blood Clots

Case 1

Patient aged 44years had cancer tumor. One hour after they wereremoved, he begins to complain shortness of breath and gas pain. Hecomplained for some time after morphine sulfate was administrated.Pulmonary embolism was not diagnosed hence the patient lost his life.

Where is the problem in the case study?

In this case study, the partial colostomy was done on canceroustumor patient without considering the patient medical historyespecially whether the patient has any bleeding disorder. Moreover,the doctor failed to monitor the emergency room after the operationand patient ended up developing complication after just one hour. Thedoctor still failed to recognize the symptoms of blood clotting afterthe patient started complaining shortness of breath and gas pain (Anderson &amp Wolf, 2012). There was even no any test either VQor angiograms tests that was performed after the patient startedshowing symptoms of blood clotting (Buttaro &amp Barba, 2012). Thedoctor only administered a morphine sulfate to relieve patient frompains causing the death of the patient.

Reasons why blood clotting has continued to be misdiagnosed inmany patients.

Even though treating blood clotting is simple, recognizing thisproblem has remained a challenge. This is because the blood clottinghas symptoms that closely resemble those of other problems such asPneumonia, asthma, anxiety and heart attack and patient may dies dueto wrong identification of disease causing the patient to be treatedusing wrong medication (Buttaro &amp Barba, 2012).

How to prevent misdiagnosis of patient of blood clotting

The blood clotting remains among the serious medical conditions.Getting the medical history of the patient correctly will provideprior knowledge of any possible occurrence of blood clotting (Buttaro&amp Barba, 2012). The patient history may be obtained by gatheringpreliminary data about the patient before the section, interviewingthe patient or sitting and facing the patient at the eye then listento how he speaks. Moreover, identifying symptoms clearly ensurecorrect diagnosis. It is essential for a nurse to ensure properdiagnosis of the blood clotting to prevent its severe outcome(Mariani &amp Bernardi, 2009). In thiscase, study, the patient complaint of gas pain, shortness of breath,which occurred after cancerous tumor removal. This should have helpedthe doctor to suspect a case of blood clotting. Understanding thesymptoms of the blood clotting will enable a doctor to monitoremergency room, perform VQ or angiograms tests (Shung&amp Ballard, 2010). These will help to prevent misdiagnosisof clotting problems. The doctor can use blood thinners or ananticoagulant to treat blood clotting.


Anderson, J. C., Baltaxe, H. A., &amp Wolf,G. L. (2012). Inability To Show Clot: One Limitation of Ultrasonography of the Abdominal Aorta 1.&nbspRadiology,132(3), 693-696.

Buttaro, T.M., &amp Barba, K. A. (Eds.). (2012).&nbspNursingcare of the hospitalized older patient. John Wiley &amp Sons.

Mariani, G., &amp Bernardi, F. (2009, June).Factor VII deficiency. In&nbspSeminarsin thrombosis and hemostasis&nbsp(Vol.35, No. 4, p. 400).

Shung, K. K., Fei, D. Y., &amp Ballard, J. O.(2010). Further studies on ultrasonic properties of bloodclots.&nbspJournal of clinicalultrasound,&nbsp14(4),269-275.