DVT and PE

Question 1

Acronym for DVT?

Answer 1

THRAMBOSIS (Increased risk)
T - Trauma, travel
H - Hypercoagulable, Hormones
R - Recreational IV drugs
A - Age > 60
M - Malignancy
B - Birth control
O - obese, obstetrics
S - surgery, smoking
I - immobilization
S - Sickness

Question 2

Virchow’s triad?

Answer 2

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

Question 3

Symptoms of DVT?

Answer 3

(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 DVT, or transfer to somewhere that can
(4) Homan’s sign (pain with dorsiflexion) is unreliable sign for DVT

Question 4

Labs/Imaging for DVT?

Answer 4

D-dimer

Ultrasound (ALL PATIENTS)

Question 5

Tx for DVT?

Answer 5

• Aggressive anticoagulation with Lovenox 1mg/kg SC q 12 hours

Question 6

Initial care for DVT?

Answer 6

ABCs, IV, O2
Anticoagulant
MEDEVAC

Question 7

Where does the embolism form in PE?

Answer 7

Pulmonary artery - this puts stress on right ventricle

Question 8

Signs of PE?

Answer 8

Hypoxic
SOB
Chest pain, tachypnea, tachycardia
Signs of DVT

Question 9

Imaging study of choice for PE?

Answer 9

Helical CT pulmonary

US for lower extremities

Question 10

Tx for PE?

Answer 10

(1) ABCs, IV, O2
(2) Anticoagulate
(3) MEDEVAC