Peripheral Diseases Disorders

Question 1

venous thrombosis

Answer 1

formation of a thrombus clot with vein formation

Question 2

what are the different kinds of venous thrombosis

Answer 2

superficial vein thrombosis; deep vein thrombosis; venous thromboembolism

Question 3

etiology of venous thrombosis

Answer 3

virchow’s triad- venous stasis; damage to endothelium; hypercoagulability of blood

Question 4

venous thromboembolism

Answer 4

deep veins of arms/legs, pelvis, vena cava, and pulmonary system

Question 5

manifestations of VTE

Answer 5

lower extremities: unilateral edema; pain; tenderness with palpation; dilated superficial veins; full sensation in thigh/calf; paresthesia; red, warm, > 100.4 degrees

Question 6

complications of VTE

Answer 6

pulmonary embolism; s/s; management

Question 7

nursing management: preventions for venous thrombosis

Answer 7

avoid oral contraceptives, drink adequate fluids; exercise legs during long periods of bedrest/sitting

Question 8

inpatient preventions for venous thrombosis

Answer 8

leg exercises, early ambulation; SQ heparin, lovonox; SCDs; venous plexus foot pump, graduated compression stockings; active clots: bedrest and ambulation

Question 9

drug therapy for venous thrombosis

Answer 9

heparin

Question 10

surgical treatment of vein thrombosis

Answer 10

open venous thrombectomy; inferior vena cava interruption devices; inferior vena cava filtration

Question 11

open venous thrombectomy

Answer 11

incision into vein to remove clot

Question 12

inferior vena cava interruption devices

Answer 12

filters placed via right femoral internal jugular veins to trap clots without impeding blood flow

Question 13

VTE risk factors

Answer 13

smoking, hormone therapy, travel, prolonged sitting, s/s of PE

Question 14

ambulatory care for venous thrombosis (management)

Answer 14

drug doses, actions, side effects, and routine blood tests; avoid falls and trauma; apply pressure to bleeding sites for 10-15 minutes; no ASA/NSAIDs; limit alcohol

Question 15

varicose veins

Answer 15

dilated (less than or equal to 3 mm in diameter), toruous superficial veins

Question 16

therapeutic procedures for varicose veins

Answer 16

sclerotherapy; vein stripping

Question 17

venous insufficiency

Answer 17

abnormalities of venous system include edema, skin changes, and venous leg strains; incompetent valves in the lower extremities

Question 18

clinical manifestations of venous insufficiency

Answer 18

lower leg- brown leathery, and edematous- stasis, dermatitis, edema

Question 19

complications of venous insufficiency

Answer 19

eczema with itching and scratching

Question 20

venous ulcers

Answer 20

pain especially with dependent position; risk of infection

Question 21

nursing care

Answer 21

compression socks; nutrition- adequate protein, vitamins A&C, zinc; monitor for infection