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T.E.D. HOSE By Manuel A. Gallegos, RN, BSN & Patty Stottlemyer RN

TED Hose: :

TED Hose: T hrombo - E mbolic D eterrent Hose Thrombo = Blood Clot Embolic = clogging vein pressure stockings that squeeze blood back to the heart to prevent blood clots in the legs

Blood Flow: Heart, Arteries and Veins:

Blood Flow: Heart, Arteries and Veins 3 3

Walking - muscles contract:

Walking - muscles contract When we walk, leg muscles contract, putting pressure on the veins, pushing venous blood flow from the feet, into the calves, into the thighs, and back to the heart. When clients are just sitting all day, the muscles are not putting pressure on the veins, and the blood is not getting pushed back to the heart as well as when the muscle are contracting with walking. Then the blood just sits (pools) in the lower legs, especially in the sitting position. With the blood just sitting there (pooling), it can cause clots to form. Especially after hip, or other leg bone surgery. If the clots break off from the vein, they can travel up to the heart and out to the arteries of the lungs. This can block blood flow to the lung. When the lung is without blood flow, it can die, the person can stop breathing, and possibly die. 4

Blood Flow / Blood Clots:

Blood Flow / Blood Clots

What is an Embolus?:

What is an Embolus? Something that travels through the bloodstream, lodges in a blood vessel and blocks it Pulmonary Embolus : A blood clot carried through the blood into the pulmonary artery or one of its branches, plugging that vessel

PowerPoint Presentation:

7 7

Pulmonary Embolus:

Pulmonary Embolus If the clot is large, it can plug a large artery - then no blood to lung This can stop breathing or can cause death 8 8

TED Hose: :

TED Hose: Squeezes Blood in leg veins back to the heart

What are TED Hose?:

What are TED Hose? Elastic, tight fitting stockings that keep mild pressure on the feet & legs To: prevent blood from “pooling” in lower legs and forming blood clots And to prevent fluid from accumulating in feet and ankles in patients with heart problems – Swelling or Edema

Who wears TED Hose?:

Who wears TED Hose? 1. Patients inactive after surgery, especially hip and leg bone surgery 2. Patients with poor venous (vein) circulation 3. Patients with foot & leg edema - heart problems

Examples of DVT:

Examples of DVT 12

What is a Deep Vein Thrombosis:

What is a Deep Vein Thrombosis Deep vein thrombosis (throm-BO-sis), or DVT, is a blood clot that forms in a vein deep in the body Most deep vein blood clots occur in the lower leg or thigh can cause pain , swelling, or warmth in the leg A blood clot in a deep vein can break off and travel through the bloodstream The loose clot is called an embolus (EM-bo-lus)

What Caregiver’s should know about TED Hose:

What Caregiver’s should know about TED Hose Some people wear TED hose only during the day when out of bed, then take off at night Some wear day and night Take them off for at least one hour a day Keep TED Hose clean, change if wet or soiled

TED Hose Care:

TED Hose Care Launder/wash frequently Cold or warm wash or hand wash Bleaching TED hose is not recommended


Summary TED stands for Thrombo-Embolic Deterrent Thrombo means Blood Clot An Embolus is something that travels through the bloodstream, lodges in a blood vessel and blocks it A DVT stands for deep vein thrombosis The symptoms are: pain, swelling, and warmth to leg TED hose can be hand washed. No bleach

TED Hose Demo:

TED Hose Demo http://www.youtube.com/watch?v=sITUfZy8iu M 17 17

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