CP - 11 Vascular DVT, PE

doesn't have all the info from the CPGs

venous thromboembolism

VTE stands for ___________________

post-thrombotic syndrome

PTS stands for _________________

asthma

_________ is an obstructive disease characterized by inflammation and increased smooth muscle reactivity to various stimuli

arterial side

the “distribution” system of the vascular system is the _________

capillaries

the “diffusion & filtration” system of the vascular system is the _________

venous side

the “collection and reservoir system” system of the vascular system is the _________

tissue ischemia, death

arterial disease causes ____________ and ____________ distal to the lesion

trauma, thrombosis

________ and ________ are two examples of acute arterial disease

peripheral artery disease

_____________ is an example of chronic arterial disease

venous thromboembolism (DVT, PE)

_______________ is an example of acute venous disease

venous insufficiency

_______________ is an example of chronic venous disease

macro

(micro/macro)circulation is named vessels, can be narrowed or blocked by atherosclerosis, endothelial damage, or clots

micro

(micro/macro)circulation is arterioles and capillaries, can be damaged by prolonged elevated blood glucose

macrovascular

angiosomes are helpful to diagnose where there is a __________ blockage

superficial

________ veins are located in subcutaneous tissue

deep

_________ veins are often in the same sheath as arteries and pulsation from arteries can help blood return

iliac, femoral

main thigh veins are _______ and ______ veins

post tib, ant tib, peroneal, soleal, gastroc

main veins of the calf are: (5)

• deep vein thrombosis (DVT)

• pulmonary embolism (PE)

• post-thrombotic syndrome (PTS)

examples of acute venous thromboembolisms: (3)

• endothelial damage

• hypercoagulability state

• stasis of blood flow

the three areas of virchow’s triad are: (3)

endothelial damage

virchow: ___________ can be caused by surgery and venous catheterization, prior DVT, LE fx/trauma, post-op sepsis, pregnancy, varicose veins

stasis of blood flow

virchow: ___________ can be caused by post-op immobility of limb/joints, prolonged bed rest or long plane flights, CHF, MI, neurologic disorders, chronic venous insufficiency, obesity,

hypercoagulation

virchow: __________ can be caused by cancer, autoimmune disorders, use of oral contraceptives, smoking, late pregnancy

• pain

• ipsilateral edema

• palpable cord

• warmth

• erythema

signs and symptoms of DVT: (5)

SILENT

50% of DVTs are ___________-

color duplex ultrasound

_______________ is the GOLD STANDARD for DVT diagnostic testing and is non-invasive

d-dimer

________ is a non-specific indication of a blood clot, and is the product of fibrin degradation

<0.50

the normal value for d-dimer is ________mg/L

clinical decision making

CPGs assist with _____________________

mobility

it is important to advocate for ________ to decrease the likelihood of VTE

padua prediction score, wells decision tool

the ____________ and ___________ are used to score and assess for DVT risk

SCDs

_________ are a device that can be used to provide intermittent compression to the legs/feet

new DVT

SCDs are contraindicated for ___________

SAFE

ambulation and mobilization are _________ with anti-coagulations

• unexplained SOB

• pleuritic pain

• cough, hemoptysis

• tachycardia

• anxiety, restless, apprehension

• pre-syncope, syncope

signs and symptoms of a PE:

right

PE can affect ___-sided heart function

HOLD PT

if there is a massive or submassive PE, you should _________

post-thrombotic syndrome

_____________ is the most frequent complication of DVT

• chronic, aching pain

• edema

• limb heaviness

• itching

• varicose veins

• hemosiderin staining

signs and symptoms of post-thrombotic syndrome are:

exercise, compression

treatment for post-thrombotic syndrome is __________ and ___________