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COC N114 Theory > DVT/PE Graph > Flashcards

DVT/PE Graph Flashcards

1
Q

What are some nursing interventions to prevent DVT and PE? (3)

A

Ambulation
Ted Hose (Sequential Compression Device)
Anticoagulant meds

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2
Q

Early pathophysiology of blood clots (4)

A

Endothelial damage, venous stasis, altered coagulation
Decreased blood flow
Platelet aggregation
Thrombus growth

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3
Q

Platelet aggregation can lead to what?

A

Phlebitis (inflammation)

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4
Q

What are some nursing interventions for decreased blood flow? (3)

A

Elevate legs
Ted hose
Active/passive ROM

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5
Q

What are some clinical manifestations of phlebitis? (2)

A

Tenderness
Warmth

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6
Q

What are some nursing interventions for thrombus growth? (3)

A

Duplex ultrasound
Thrombolysis or thrombectomy
Anticoagulant meds

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7
Q

Pathophysiology of DVT after a thrombus has formed (3)

A

Tissue ischemia
Translocation of fluid into interstitial place
Venous gangrene

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8
Q

Clinical manifestations of tissue ischemia (2)

A

Cool skin
Pain

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9
Q

Clinical manifestation of translocation of fluid into interstitial space

A

Edema

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10
Q

Pathophysiology of PE after thrombus growth (6)

A

Propagating fibrin tail breaks off
Fibrin tail travels to pulmonary vessel
Lung infarcts
Ischemic necrosis of lung
Increased alveolar dead space
Impaired gas exchange

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11
Q

Nursing intervention after fibrin tail travels to pulmonary vessel

A

Pulmonary angiogram (VQ scan)

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12
Q

Clinical manifestations of lung infarction (2)

A

Hemoptysis
Chest pain

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13
Q

Nursing intervention for ischemic necrosis of lung

A

Chest X-ray

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14
Q

Nursing intervention for increased alveolar dead space

A

ABGs

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15
Q

Clinical manifestations of impaired gas exchange (4)

A

Tachypnea
Tachycardia
Dyspnea
Anxiety/Apprehension

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16
Q

Pathophysiology of PE in the heart after fibrin tail travels to pulmonary vessel (3)

A

Substance released causing vasoconstriction leading to increased pulmonary vascular resistance
Increased workload of right ventricle
Decreased cardiac output

17
Q

Nursing intervention after increased workload of the right ventricle

A

ECG

18
Q

Clinical manifestations of decreased cardiac output r/t PE (3)

A

Shock
Syncope
Sudden death

COC N114 Theory (6 decks)

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