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24 Cards in this Set
- Front
- Back
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what is a pulmonary embolus? |
an obstruction of the pulmonary capillary bed by a dislodged or foreign substance |
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where do emboli that cause PE usually come from? |
the legs |
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besides a thrombus, what else can cause an embolus in the lungs? |
air, fat, tumor |
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what tx modality can lead to a PE? |
bed rest |
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what kind of drug class can lead to PE? |
oral contraceptives |
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what heart problem can lead to PE? |
A fib (R A fib = PE) (L A fib = cerebral embolus) |
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what genetic disorder can lead to PE? |
sickle cell anemia |
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what is the first sx of PE? |
dyspnea |
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dyspnea of PE is accompanied by what? |
pleuritic pain |
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does the HR increase or decreae in PE? |
increase |
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with severe PE, the client will look like what? |
they are in shock |
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what are two major treatments of PE? |
O2, anticoagulants |
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name the anticoagulant given for immediate anticoagulation by IV or SQ route? |
heparin |
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a drug for long term anticoagulation in any disorder would be? |
coumadin |
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what 2 lab tests monitor coumadin therapy? |
PT and INR |
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when coumadin is therapeutic, what is the range? |
2.0-3.0 |
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what is lovenox? |
it is a low-dose heparin used for anticoagulation in POST-OP THROMBOPHELEBITIS PREVENTION NOT USED FOR PE |
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heparin therapy is monitored by daily measuremtn of what? |
PTT |
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effective heparin therapy raises the PTT to what? |
2.5 times the normal |
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clients on heparin should use an electric razor or a safety razor? |
electric razor |
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what is the best way to prevent PE in post-op patients? |
early ambulation |
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is it appropriate to massage the legs of the client to prevent a PE? |
no, never |
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heparin is used in the acute phase of PE. what drug is used for 6 months after a PE? |
coumadin |
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coumadin therapy is monitored by what daily test? |
PT (and INR) |
