6C: RLD

Question 1

What medications are used to treat PE?

Answer 1

Therapeutic dosage of anticoagulation

Question 2

What medication is used to prevent PE?

Answer 2

Prophylactic dose of low molecular weight heparin

Question 3

What are three ways to prevent PE besides medication?

Answer 3

1. Early mobility
2. Compression stockings
3. Intermittent compression devices

Question 4

What are mobility goals for PE prevention?

Answer 4

Get the patient up and ambulating as soon as possible, bed rest is a major risk

Question 5

What is an IVC Filter?

Answer 5

Inferior vena cava filter - prevents clots from traveling

Question 6

What are the three medications for PE?

Answer 6

1. Low molecular weight heparin
2. Heparin
3. Coumadin

Question 7

What is indicated if INR is between 4.0 - 5.0 with Heparin or Coumadin?

Answer 7

Resistive exercises should be held and participation in light exercise is okay

Question 8

What is indicated if INR is > 4.0 and gait is unsteady with Heparin or Coumadin?

Answer 8

Ambulation should be restricted due to risk of bleeding if a fall occurs

Question 9

What happens as INR increased above 5.0 with Heparin or Coumadin?

Answer 9

Likelihood of bleeding increases quickly

Question 10

What is indicated if INR is > 5.0 with Heparin or Coumadin?

Answer 10

Talk with MD is any mobility is warranted due to increased risk of hemorrhage

Question 11

What is indicated if INR is > 6.0 and gait is unsteady with Heparin or Coumadin?

Answer 11

Bedrest until INR is corrected

Question 12

When INR indicated bedrest, how long before levels normally are corrected?

Answer 12

Within 2 days

Question 13

What is the HAS-BLED bleeding score?

Answer 13

Scale to assess the risk of hemorrhage for VTE

Question 14

What are four interventions for pneumonia?

Answer 14

1. Antibiotics
2. Supplemental O2
3. Mobility and endurance
4. Breath timing and control

Question 15

What are two interventions for BPD?

Answer 15

1. Medication
2. Airway clearance

Question 16

What medications can be used for BPD?

Answer 16

• Diuretics
• Bronchodilators
• Surfactant replacement

Question 17

Can children regain pulmonary function with BPD ?

Answer 17

Yes, but in severe cases it can be fatal

Question 18

What is cor pulmonale?

Answer 18

Right sided CHF

Question 19

What are four interventions for IPF?

Answer 19

1. Corticosteroids
2. Meds
3. Supplemental O2
4. Lung transplant

Question 20

What meds are used for IPF?

Answer 20

Pirfenidone and Nintedanib

Question 21

What are four acute interventions for burns?

Answer 21

1. Supplemental O2
2. Maintain ventilation
3. Positioning for skin integrity
4. Mobility