Pathology/terms
Clinical Features
Diagnostics
Treatments
Management
100
This is a major health problem in the United States and is often undiagnosed
What is Venous thromboembolism-including PE and DVT
100
What are the most common symptoms associated with pulmonary embolism?
What is acute dyspnea/chest pain, cyanosis, cough, blood, syncope
100
What does a D-dimer test determine?
What is a D-dimer test determines the level of fibrinogen-a protein found in the blood when clots are present. Values greater than 500 ng/mL are positive-indicates clots
100
Name the type of pharmacotherapy that is given to treat pulmonary thromboembolisms-by preventing current blood clots from growing and preventing the formation of new clots:
What is Anticoagulants
100
What advise should be given for the patient who is at high risk for developing DVT or PE who is preparing for a long trip?
What is walk often, move ever hour, exercise while seated, don't cross your legs
200
This is a condition when the pulmonary artery becomes obstructed and wasted ventilation results.
What is Pulmonary Emboli
200
What happens to the vitals when a patient has a pulmonary embolism? Do they increase or decrease?
What is vitals increase (tachypnea, tachycardia and mild fever.)
200
How does a duplex venous ultrasound work?
What is -- a duplex venous ultrasound uses high-frequency sound waves to detect blood clots in the thigh veins
200
How is Heparin is classified?
What is Heparin is classified as a fast acting anticoagulant. Recently, low molecular weight heparin has been preferred for preventative treatment.
200
This is an article of clothing that patients can wear to help the veins and muscles move blood.
What is tight fitting elastic compression stockings
300
Where do most embolisms originate?
Deep Venous Thrombosis
300
What abnormal heart sound is associated with abnormally high blood pressure in the pulmonary embolism?
What is increased S2-from forceful closure of pulmonary valve
300
What test is fast becoming the first-line test for diagnosing suspected pulmonary emboli and is considered more sensitive than the ventilation-perfusion scan (V/Q scan) and pulmonary angiogram?
What is SPIRAL CT-COMPUTED TOMOGRAPHY SCAN can scan with dye, 20 sec test
300
How is warfarin (Coumadin) classified?
What is warfarin (Coumadin) is classified as a slow-acting, oral-anticoagulant
300
Name the treatment that automatically inflates every few minutes to massage and compress leg veins?
What is pneumatic compression devices, such as thigh high cuffs-dramatically reduce the risk of blood clots in lower legs!
400
Three main factors are associated with the formation of deep venous thrombi. What is the term that indicates slowing or stagnation of the blood?
What is Venous Stasis
400
What can be palpated along the left sternal border if the patient has significant pulmonary hypertension from a pulmonary embolus?
What is right ventricular lift
400
In patient in whom noninvasive tests do not yield a definite PE diagnosis, what invasive test is the diagnostic choice?
What is pulmonary angiogram-as it provides a clear image of the blood flowing in the arteries of the lungs
400
What is the name of the class of medications that are given to dissolve blood clots?
What is - the name of the medication that is given to dissolve the blood clot is fibrinolytic agents.
400
This PE treatment is considered a "last resort" because the mortality rate is high
What is surgical removal of blood clot-pulmonary embolectomy
500
Three main factors are associated with the formation of deep venous thrombi. What is the term for an increased tendency for the blood to form clots typically caused by a genetic deficiency or oral contraceptives?
What is hypercoagulability
500
What type of breath sounds are typically noted in a patient with a pulmonary embolus?
What is BS may be normal or have localized crackles and or wheezes
500
What is the formula used to determine VD/VT?
What is The formula used to determine VD/VT= PaCO2-PeCO2/PaCO2
500
What is the brand name of a fibrinolytic agent given to dissolve blood clots? Who you gonna call...
What is ...clot busters: streptokinase (Streptase), urokinase (Abbokinase), alteplase (Activase)and reteplase (Retavase)
500
The hypoxemia that develops with PE is generally refractory to oxygen therapy and is caused by __________ ventilation
What is Dead Space Ventilation-
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