post op fever/ dvt/ pain management

Question 1

fever definition

Answer 1

> 101.5F

Question 2

infection fever temp

Answer 2

102

Question 3

pratts sign

Answer 3

pain w compression of calf

Question 4

homans sign

Answer 4

pain in calf w dorsiflexion of ankle

Question 5

virchows triad

Answer 5

hypercoagulability, hemodynamic changes, endothelial injury

Question 6

d dimer for dvt

Answer 6

> 500 ug/ml

Question 7

unfractionated heparin. law of 8018

Answer 7

initial dose of anticoag 80 mg/kg IV bolus then 18 mg/kg/hr

PTT should be 2 x normal

Question 8

warfarin dose

Answer 8

10 mg PO/ day then look at INR

Question 9

PE triad

Answer 9

dyspnea, chest pain, hemoptysis

Question 10

attack stimulus pain

Answer 10

noxious stimuli, transduction, inflammation

via anti-inflam and limiting stimuli

Question 11

attack transmission pain

Answer 11

peripheral sensory afferents, allodynia (A beta fibers light pain is painful)
via local anesthetics or Na channel blockers

Question 12

attack modulation pain

Answer 12

spinal cord dorsal horn

via opiods, ca channel blockers, NMDA, beta adrenergics

Question 13

attack perception pain

Answer 13

anixolytics, antidepressants, education