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49 Cards in this Set
- Front
- Back
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post thrombotic syndrome
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thrombus destroys valves and blood stagnates in vein
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pt has pain/cramps.. itching extremity edema and pigmentation is off.. may have what?
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Post TS
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virchow's triad
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factors contributing to developing VTE
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whats makes up the triad?
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venous stasis
endothelial damage hypercoagulability |
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extremity is tender, red, warm, and painful. vein appears hard and palpable. may be what?
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superficial thrombo
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give what med to superficial thrombo pts?
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oral analgesics.. mild
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pt has a lower leg that has edema and erythema. also has a fever of 101. what is it/
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DVT
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pt has chest pain and a cough and is a blue shade. theie BP is 100/60 and neck is distended. also resps are 8. what is it (2 things maybe)
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PE or DVT-first signs are PE
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what could cause my blod to clot more? other than meds.. natural things
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obese
preg hormone replacement pulmonary failure sepsis dehydrated |
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pt is dehydrated and pregnant.. most at risk for what?
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hypercoag.
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things in "Score It" refers to what...what are they?
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highest risks for VTE; surgery, obese, cancer/CVD, resp fail, elder, ill/immobility/icu, trauma/thrombo
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when bridging warfarin use what anti caog?
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LMWH
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fragmin lasts how long? lovenox? what are they?
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LMWH, 24, 12 hrs.
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monitor what when giving warfarin?
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PT
INR bleeding |
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fibrinolytics
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dissolve thrombi
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catheter prevention of VTE
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mechanical removal
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heparin increases what activity?
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antithrombin
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high doses of hep do what?
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neutralize thrombin
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monitoring hep
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aPTT
bleeding PLATELETS |
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pt has significant drops in platelets and aPTT values are off. what should i do?
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check heparin.. discontinue
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i have ulcers and htn should i take these meds?
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no
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normal warfarin
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10-14 sec
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therapeutic warfarin
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20-28
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therapeutic INR
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2-3
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normal aPTT
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25-40 sec
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therapeutic aPTT
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45-100
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normal PTT level
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60-70
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antidote for hep?
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VitK
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antodote for Arixtra
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none
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antidote for thrombin inhibitor
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none
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what do i do for PE pts?
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high fowlers
oxygen monitor lungs/bp/o2 incentive spirometer |
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improving peripheral arterial circulation
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raising the head of the bed.
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most symptom of peripheral arterial occlusion
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intermittent claudication
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what to do with Peripheral arterial occlusion
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place lower extremities in dependent postition
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when pt has int. claud. what will the lower extremities feel like?
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cold and numb
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Buerger's
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recurring inflammation in small extremities making a thrombus
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beurger's main symptoms
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pain and cramps
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raynaud
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arteriolar vasoconstriction of the small extremities
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raynaud symptoms
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cold, pain, and pallor
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raynaud political meaning
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white pallor, then bluish bc of vasospasm then red (rubor) after ends
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raynaud avoid what weather?
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cold
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homan's sign
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foot jerk
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fonda
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inhibits Xa
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post thrombotic syndrome manifested by...
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chronic vein stasis
edema altered pig pain dermititis |
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chronic VEIN insuff main problem
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ulcers
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vein insuff management
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elevate
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arterial ulcers seen through
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int claud
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venous ulcers seen through
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pain/aching
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most common cause of infectious limb swelling
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cellulitis
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