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25 Cards in this Set

  • Front
  • Back

What is a thrombosis

A blot clot that form locally in a vessle. Obstructing blood flow to the circulatory system

What is a dvt?

Deep vein thrombosis, blot clot that forms deep im a vessle ij the leg or pelvis

What is virchows triad

Venous flow/stasis


Hypercoagubility state


Endothelial damadge

4 facrors that could contribute to venous stasis

Pregnancy


Anaesthesia


Varicose veins


Obesity

4 factors contributing to Hypercoagubility state

Contraceptive pill


Increased eorstrogen


Pregnacy post partum


Surgery and trauma

4 risk factors of endothelial damadge

Surgery


Trauma


Venepunctuer


Indwelling catheter

4 causes of patient imobility that causes dvt

Limb paralysis


Prolonged anaesthesia


Long term ventilation


External fixator on limb

What are the signs and symptoms of dvt

Warmth


Tenderness


Leg pain


Dilated veins

4 complications of a dvt


Post thrombotic syndrome


Pulmonary embolism


Skin ulcers


Chronic venous insufficiency

How can you prevent a dvt?

Agressive mobility


Teds


Pneumatic intermittent leg compression device


Foot pumps

How can you treat a dvt pharmacology

Unfractionated heprain


Low molecular heparain -lovenox


Warfrin


Factor x inhibitors

How can you surgically prevent dvt

Embolic protection device


Catheter aspiration


Mechanical thrombevtomy

What is a pulmonary embolisms

Obstruction of the pulmonary artery


In one or more of its branches


By a thrombosis that detached from a dvt

Non thrombotic sources include

Fat


Air


Gas


Amino


Cholesterol


Tumor

Initial pharmacological treatment for pulmonary embolism

Unfractionated heparain


Low molecular heparain -lovenox


Warfrin


Factor x inhibitor

Surgical treatment for a pulmonary embolisms

Pulmonary embolectomy


Traverse catheer embolectomy

Surgical prevention of pulmonary embolism

Ivc filter

What is an air embolism

Pathological condition caused by a gas bubble entering a vessel

Non iatrogenic causes of a air embolism

Scuba diving


Puncturing chest wall

Iatrogenic causes of a air embolism

Rappid blood transfusion


Irritated cardiac bypass


Central venous line removal


Haemodialyss

General signs and symtoms of air embolism

Respitory failure


Cardiac failure


Loc


Stroke


Hypotension

Signs and symptoms of air embolism under general anaesthetic

Exponential reduction in etco2


Hypoxia


Bradycardia


Low cardiac output

Two prerequisites

Air in iv infusion line


Neurosurgery procedure, sitting procedures

3 goals

Stop the source


Prevent futher injury


Resuscitation


How caj you prevent air embolism

Avoid n20


High flow of 02


Avoid sitting position