DVT or VTE? What's that triad? Prevention Rudolf the German Doctor 1, 2, 3, anticoagulate !
100
What is a DVT?
This clot forms in a vein and remains in situ
100
What is hypercoagulability?
Thrombophilia, pregnancy, high estrogen levels
100
What are mechanical and pharmacological?
The 2 basic types of preventive interventions. One can be applied to the lower extremities, the other, administered PO, SQ or IV.
100
Who is Rudolf Virchow?
150 Years ago, this German cellular biologist and MD identified 3 phenomenon which contributed to DVT.
100
What are types of PO anticoagulants?
Warfarin, Xarelto, Eliquis
200
What is a DVT?
Deep Vein Thrombosis
200
What is venous stasis?
Immobility, obesity, CHF, stroke
200
What is mobility?.
This intervention can improve muscle strength and increase circulation. Forms include ambulation, passive range of motion, or even just sitting your patient in a chair!
200
What is endothelial damage?
Irritation of the vessel and its surroundings
200
What is INR
This needs monitoring for patients on warfarin. Normal is 1.0
300
What is a VTE?
This forms in a vein and travels throughout the body
300
What is endothelial damage?
Surgery, Central line, Hyperinflammatory /hyperimmune response
300
What are compression stockings?
This leg wear that prevents venous stasis should be worn for 18 hours daily. Use caution with diabetes and peripheral neuropathy!
300
What is hypercoagulability?
Increased ability of the blood to clot
300
What is SQ?
Lovenox and Arixtra are administered by this route. Sometimes heparin too.
400
What is a VTE?
When these reach the lungs, they cause PEs, the 3rd most common cause of death in hospitalized patients.
400
What is venous stasis?
Age over 40, varicose veins
400
What is skin integrity?
When using SCDs, it is important to monitor this Q 8 hours. Document your finding!!
400
What are the 3 components of Virchow's triad?
Venous stasis, endothelial damage, hypercoagulability
400
What is daily?
Evaluation for adequacy of DVT prophylaxis should be done this often
500
What is a VTE?
1/3 of these are fatal
500
What is hypercoagulability?
Smoking, cancer, sepsis
500
What is documentation??
This must be done consistently after prophylactic interventions are implemented. Or if a patient refuses treatment
500
What is venous stasis?
Interruption or slowing of blood flow
500
What are contraindications for pharmacologic anticoagulants?
Recent cardiovascular hemorrhage, Impending surgery of brain or spinal cord, Severe liver disease/heavy ETOH use, Severe trauma, Recent major surgery






DVT/VTE

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