DVT & VTE (Final)

Question 1

Thrombus

Answer 1

-Blood clot that remains attached to a vessel wall

-More common veins due to flow and pressure

Question 2

What do you call a thrombus that has detached from the vessel wall

Answer 2

-Thromboembolus

Question 3

Thrombus in circulation

Answer 3

Venous thromboembolism

Question 4

DVT

Answer 4

Deep vein thrombosis

Occurring in the lower extremities

Thrombus in one of the deep veins of the body

Question 5

Triad of Virchow

Answer 5

1. Venous stasis (slow blood flow) (Older age and immobile) (Heart Failure)
2. Venous endothelial damage (Trauma) (IV meds) (Surgery)
3. Hyper coagulable states (Clotting disorders) (Cancer) (Pregnant) (Birth Control) (Recent surgery)

Question 6

Patients of highest risk

Answer 6

-Ortho surgery, spinal cord injuries, obstetric/gynecologic conditions

Question 7

Where do thrombus usually occur?

Answer 7

Near a venous valve

Question 8

Inflammation around the thrombus promotes

Answer 8

Inappropriate platelet aggregation and the thrombus grows

-Can cause pain and redness or can have no symptoms

Question 9

Complications of VTE/PE

Answer 9

Pulmonary Embolism (PE) (Prevents gas exchange)

Chronic thromboembolic pulmonary hypertension (SOB)

Post-thrombotic syndrome (chronic inflammation and chronic venous hypertension)

Phelgmesia cerula dolens (Painful blue inflammation)

Separate these

Question 10

Pulmonary Embolism

Answer 10

-Thrombus becomes lodge in pulmonary circulation

Question 11

Chronic thromboembolic pulmonary hypertension

Answer 11

-Rare but caused be repeated clots in lung that increase pressure

-SOB

Question 12

Post-thrombotic syndrome

Answer 12

-Chronic inflammation

-Chronic venous hypertension

-Pain - aching - Fatigue - Swelling - Cramps - Bursting pain - pain in thigh and butt when walking

-Spider viens and venous dilation

Question 13

Phelmesia cerula dolens

Answer 13

-Rare

-Major leg veins near totally occluded

Question 14

Treatment of VTE/DVT

Answer 14

-Anti-coagulation therapy

-Prevention of risk factors CRUCIAL

-IVC filters

-Embolectomy

-SCD’s TED hose, Mobilization