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15 Cards in this Set

  • Front
  • Back
When on Coumadin what lab value do you monitor?
What vitamin should be at a constant value in your diet
PT/INR
Vitamin K
How does Heparin help break down a clot?
Heparin suppresses coagulation so that the clot doesn't get any bigger.
Virchow's triad is:

Hint: DVT
stasis of blood
vessel damage
increased blood coagulability
How do you "cure" PAD?

Why does it work?
Increasing and regular physical activity. 30-45 min of walking

This works by promoting the development of colateral circulation.
What is the true "blood thinner"?

What does it do?
Trental (Pentoxiflylliune)

decreases the viscosity of the blood
increases red blood cell flexibility
The difference between Raynaud's Disease and Raynaud's Phenomenon.
Raynaud's Disease is primary, chronic, but episodes are transient.

Raynaud's Phenomenon is a secondary condition that leads to tissue necrosis.
Name two peripheral vascular diseases that don't involve fatty plaques in arteries.
Raynaud's Disease
Buerger's Disease
Who is most likely to have Raynaud's Disease?
Women, 16 to 40, who are under stress or exposed to cold.
Who is most likely to have Buerger's Disease?
Men, 20 to 40, who smoke or chew tobacco. Common in Asian, Indian, Middle Eastern, and Eastern European men.
Common interventions that can be done for Raynaud's Disease or Buerger's Disease
Keep warm with gloves and socks, manage stress, advise patient to avoid smoking.
Describe the pathophysiology of Buerger's Disease.
Inflammatory cells invade arteries, usually in feet. Small and midsize peripheral arteries become inflamed and spastic, causing clots to form.
Describe the pathophysiology of Raynaud's Disease.
Stimulation of the sympathetic nervous system or exposure to cold activates a mechanism that causes vascontrition
List three clinical manifestations of Raynaud's (Disease or Phenomenon).
"White-blue-red" (no blood, venous blood, rebor) color to affected areas.
Parathesias, stiffness, aching pain, decreased sensation, bilateral involvement, fingers only.
Gangrene for Phenomenon only.
What is a sympathectomy?
A surgical intervention to try to lessen the nervous system reaction that triggers Buerger's Disease.
Are medications used for Raynaud's or Buerger's Diseaes?
Yes, with limited effect. Calcium blockers, ARB's and vasodilators aren't usually needed by Raynaud's patients.
Cardiziem, Verapimil, and Trental have limited success in Buerger's patients.