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24 Cards in this Set
- Front
- Back
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Pulmonary embolus is an obstruction of the pulmonary _____ bed by a dislodged _____ or foreign substance |
Capillary, thrombus |
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Where do emboli that cause pulmonary embolus usually come from? |
The legs |
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Besides a thrombus, what else can cause an embolus in the lungs? |
-Air -Fat -Tumor cells |
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What treatment modality can lead to pulmonary embolus? |
Bed rest |
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What class of drugs can lead to pulmonary embolus? |
Oral contraceptives |
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What heart problem can lead to pulmonary embolus? |
Atrial Fibrillation -RIGHT A-fib causes PULMONARY embolus -LEFT A-fib causes CEREBRAL embolus |
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What genetic disorder can lead to pulmonary embolus? |
Sickle cell anemia |
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What is the first stage of pulmonary embolus? |
Dyspnea |
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The dyspnea of pulmonary embolus is accompanied by _____ _____ |
Pleuritic pain |
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Does the heart rate increase or decrease in pulmonary embolus? |
Increase |
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With severe pulmonary embolus, the client will look as though they are in _____ |
Shock |
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What are the two major treatments of pulmonary embolus? |
1. O2 2. Anticoagulants |
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Name the anticoagulants 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 two lab tests monitor coumadin therapy? |
Prothrombin time (PT) and INR |
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When coumadin is therapeutic, the INR should be between _____ and _____ |
2, 3 |
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What is Lovenox? |
It is a low-dose Heparin used for anticoagulation in POST-OP THROMBOPHLEBITIS PREVENTION -NOT USED FOR PULMONARY EMBOLUS |
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Heparin therapy is monitored by daily measurement of the _____ |
PTT = partial thromboplastin time |
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Effective heparin therapy raises the PTT to approximately _____times normal |
2.5 |
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Client on heparin should use an electric razor or a safety razor? |
Electric razor |
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What is the best way to prevent pulmonary embolus in the post-op patient? |
Early ambulation |
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Is it appropriate to massage the legs of the client to prevent pulmonary embolus? |
No NEVER |
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Heparin is used in the acute phase of pulmonary embolus. What drug is used for 6 months after pulmonary embolus? |
Coumadin |
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Coumadin therapy is monitored by what daily test? |
PT = prothrombin time |
