Deep Vein Thrombosis.

Question 1

(a) Posterior Tibial veins
(b) Anterior Tibial veins
(c) Popliteal veins
(d) Femoral veins

Answer 1

Lower extremity Deep veins:

Question 2

(a) Venous stasis
(b) Hypercoagulable state
(c) Injury to vessel wall

Answer 2

*Virchow’s triad: DVT

Question 3

(1) is a common condition caused by the formation of venous clots.
(2) Related to presence of at least one of Virchow’s triad:
(a) Venous stasis
(b) Hypercoagulable state
(c) Injury to vessel wall

Answer 3

Pathophysiology: DVT

Question 4

Most common life-threatening consequence is a DVT is

Answer 4

Pulmonary Embolism (PE).

Question 5

(a) Trauma, Travel
(b) Hypercoagulable, Hormones
(c) Recreational IV drugs
(d) Age > 60
(e) Malignancy cancer
(f) Birth control
(g) Obesity, Obstetrics
(h) Surgery, Smoking
(i) Immobilization
(j) Sickness

Answer 5

Risk Factors (THROMBOSIS): DVT

Question 6

(1) Pain, redness, swelling, warmth, and tenderness.
(2) Measure leg circumference and compare to unaffected leg.
(3) If unilateral leg swelling, then you MUST rule out ___, or transfer to somewhere that can.
(4) Homan’s sign (pain with dorsiflexion) is an unreliable sign for ___.

Answer 6

Symptoms/Physical Findings DVT

Question 7

D-dimer
Ultrasound

Answer 7

Labs/Studies: DVT

Question 8

is one of the protein fragments produced when a
blood clot gets dissolved in the body. It is normally undetectable or detectable at a very low
level unless the body is forming and breaking
down blood clots.

Should be low*

Answer 8

D- Dimer Lab: DVT

Question 9

Peripheral Edema
Varicose veins
Cellulitis
Thrombophlebitis
Peripheral arterial disease affecting opposite leg.

Answer 9

Differential Diagnosis: DVT

Question 10

All patients with signs or symptoms of DVT need to
undergo an

Answer 10

Ultrasound: DVT

Question 11

(1) Prevention of PE is primary goal of treatment.
(2) Aggressive anticoagulation with Lovenox 1mg/kg SC q 12 hours OR cumidin (prevention)
(3) Heparin: 80 units/kg IV loading dose, then initiate continuous infusion 18 units/kg/hr.
(4) Pain control with Tylenol, Morphine
(5) Patients will need long-term anticoagulation 3-6 months minimum.

Answer 11

Treatment: DVT

Question 12

(1) ABCs, IV, O2, Monitor
(2) IF you suspect this, then anticoagulated immediately and MEDEVAC.

Answer 12

Initial Care: DVT

Question 13

PE
Death

Answer 13

Complications: DVT