Pulmonary Vascular Disease Flashcards
1
Q
Diet Cor Pulmonale
A
Low Na+
Fluid Restrictions
Small Frequent Meals
2
Q
Blockage obstructs blood supply to lung tissue, ↑ RV workload, ↓ perfusion to lung
A
PE
3
Q
Most Common Cause of PE
A
DVT
Greater risk of above knee clots embolizing (iliofemoral vein)
4
Q
Risk factors for DVT (Triad)
A
Venous stasis
Endothelial injury
Hypercoagulability
5
Q
Cause Hypercoagulability
A
deficiency in antithrombin III, protein C - protein S, dehydration
6
Q
- Recent central venous instrumentation
- Venous insufficiency
- Stroke*
- Pregnancy
- Maglignant neoplasms*
- Prior DVT *
- Right ventricular failure
- Paralysis*
A
Increased risk for DVT
7
Q
Immobility * Atherosclerosis Obesity* Estrogens Surgery or trauma* History of heavy smoking* Sepsis Hypertension
A
Increased risk for DVT
8
Q
Sudden onset dyspnea Feeling anxious Tachypnea Tachycardia Low PaCO2
A
PE
9
Q
Shock Pallor Severe dyspena Crushing chest pain Pulse rapid and weak or PEA Low BP
A
Massive PE
10
Q
50% obstruction
A
cor pulmonale results
11
Q
60 % obstruction
A
death
12
Q
Crushing chest pain Pulse rapid and weak or PEA Low BP Shock Pallor Severe dyspena ECG: shows right ventricular strain
A
Massive PE
13
Q
CXR PE
A
not Dx for PE
14
Q
Chest CT PE
A
most frequently used
Reveals pulmonary abnormalities
15
Q
Most specific, but MOST risk
Use cath and dye
Rarely used to Dx PE
A
Pulmonary Angiography
