Thrombolytics Flashcards
True/False: Neonates are the most commonly affected age group of Thrombosis.
True: incidence 41:100k/yr
What is the initial presentation of thrombosis?
-Catheter does not work (cannot infuse or draw through line)
What is a less common thromboembolic phenomenon?
Caused by?
Inherited and acquired thrombophilia
Heterozygous factor 5, Protein C or S deficiency
CMV is a rare cause of Aortic thrombosis
What is thrombus?
A clot in an Artery or Vein causing complete or partial obstruction
What is an Embolus?
What can it cause?
A mobile clot that lodges in a blood vessel.
May cause obstruction or vasospasm.
What is a vasopsasm?
What is the sign of vasospasm?
Muscular contraction of Arterial vessel
Color change (blue or white) in the affected extremitiy
What may be a predisposing factor of vasospasm?
Blood sampling
Where may the color change of vasospasm extend to?
Is it transient or persistent?
Is it caused by prior injection of a med or manifestation of Thromboembolism or Thromobembolytic phenomenon (inherited D/O)??
Buttocks or badomen
Both/either
Either
Venous thrombosis is caused by?
Renal vein thrombosis or indwelling venous catheters
What are the sign of venous thrombosis?
- Extremities swollen
- Extremities discolored
- Distended superficial veins
What are the signs of Renal vein thrombosis?
-Hematuria, hypertension, thrombocytopenia, flank mass
If pulses are completely absent, consider Venous or Arterial thrombosis?
Arterial (pulses duh!)
What are the signs of Arterial thrombosis? (6 things)
- Decreased perfusion and color change of lower extremities
- Loss of pulses
- B/P differences between upper and lower extremities
- Oliguria
- Hypertension
- Hematuria
An aortic thrombosis w/Absent Arterial pulse is what?
How common is this in NB’s?
A Medical Emergency
Rare-fortunately :-)
What labs are needed for a suspected thrombosis?
- TT
- PTT
- PT/INR
- PCV
- Plt count
- Fibrinogen
- Genetic tests/CMV work up