Peripheral venous disease

Question 1

Three health problems that alter the blood flow in vain

Answer 1

Thrombus formation
Defective valves
Skeletal muscles do not contract to help pump blood in the veins

Question 2

What is Virchow’s triad?

Answer 2

Stasis of blood flow
Endothelial injury
Hypercoagulability

Question 3

Deep vein thrombosis is more serious than superficial thrombosis because

Answer 3

It presents a greater risk for pulmonary embolism

This is where a dislodged blood clot travels to the pulmonary artery.

Question 4

What are the classic signs and symptoms of DVT?

Answer 4

Calf or groin tenderness and pain and sudden onset of unilateral swelling of the leg

Question 5

What is the preferred diagnostic test for DVT?

Answer 5

Venus duplex ultrasonography. This test is noninvasive and assesses the blood flow through the veins of the arms and legs

Question 6

What lab test is used to diagnose DVT when the patient has few clinical signs?

Answer 6

D dimer

Question 7

What drugs are the drugs of choice for DVT and for patients at risk for DVT?

Answer 7

Anticoagulants

Unfractionated heparin followed by oral warfarin

Question 8

What is the antidote for heparin?

Answer 8

Protamine sulfate

Question 9

When would protamine sulfate be given?

Answer 9

If the patient is bleeding after receiving heparin

Question 10

Therapeutic levels of warfarin are monitored by measuring what

Answer 10

PT and/or INR

Question 11

A patient on warfarin should have an INR between

Answer 11

1.5 and 2.0 to prevent future DVT’s

Question 12

What is the reversal agent for the anticoagulant effect of warfarin

Answer 12

Vitamin K