Hubbard - DVT/PE Flashcards
What is the gold standard diagnostic tool for PE
CT Pulmonary Arteriography
If pt can’t have contrast, which diagnostic tool is used for PE
V:Q scan
If a pt has a d-dimer < 500, what does that mean in terms of a PE
They don’t have one
What is Liskers sign
Pain w/ percussion on anteriomedial tibia
What is Lowenberg’s sign
Pain when BP cuff applied and pumped to 80 mmHg
What drugs commonly invoke a hypercoagulable state
Tamoxifen
Bevacizumab
What is the Well’s Criteria
Signs/Sx's = 3 PE Dx most likely = 3 HR > 100 = 1.5 Immobilized > 3 days OR surgery in last 4 wks = 1.5 Hx of DVT/PE = 1.5 Hemoptysis = 1 Cancer w/in last 6 months = 1
How is the Well’s Criteria score interpreted
< 2 = low 2-6 = moderate > 6 = high OR ≤ 4 = unlikely, > 4 = likely
How long is generic Tx after a PE/DVT
3 months
If a pt has cancer and presents with a PE/DVT, how long is therapy and which drug is used
As long as the cancer
Enoxaparin
If a pt has an unprovoked clot, how long is therapy
3 months then reassess
May add ASA daily
If a pt has a recurrent unprovoked clot, how long is therapy
Indefinite
If a pt has an underlying thrombophilia, how long is therapy
Indefinite
If a pt has Antiphospholipid Ab Syndrome, how long is therapy
Sero-negative = may stop Sero-positive = indefinite
When is Enoxaparin used and for how long
Almost everyone:
Surgery - 4 wks
Ortho surgery - 2x/day for 10 (TK/TH = 1 month)
Bariatric surgery - 2x/day