superior vena cava thrombosis and syndrome complicated by pulmonary embolis
37 y/o female,hx of pseudo tumor cerebri with lumbar peritoneal shunt in 2004, revised in 2005, and again this past september, due to frequent hospital admits and poor sites available for IV i opted to have a right IJ portacath/mediport in october of 2004 port flushed monthly using sterile technique february 2007 - superior vena cava thrombosis leading to svc syndrome hospital stay was further complicated by right lung pulmonary embolis may 2007 had portacath removed venous access for procedures and blood draws is extemely limited until june regular pt/inr results were within range (2-3 some times almost 4 but no dosage adjusts made) at that time i was on 4 mg coumadin in july we never could theraputic level increases coumadin increase to 6 mg 2 week recheck still was not theraputic current dose is now 9 mg dailymy lastest results were pt 13.6 and inr 1.3 i do have other problems, such as having lost my job at our small town hospital due my doctor saying to work 2 day/week prior to this illness i was working 36 hous one week and 48 the next even with a nursing shortage even with my 5 years workingn LPN i worked with fresh post ops have filled in on the other medical floors when need, i spent a year in ICU night crew was my chsrge nurse( RN -BSN MSD then myself an LPN and for a few months we did have a telemetry tech with us, after both of these left i was teamed with RN and no telenedtry tech at FAST PACED 5 BED ICU AND I CANT GO BACK BECAUSE I HAD TO TAKE MEDICAL LEAVE TWICE -THE LAST TIME WAS FOR OVER 6 MONTHS
ANY INFO ABOUT CLOY\TS,SVC SYNDROME ALSO INFO ON THE PE
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