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NUR123 Exam 1 > Unit 3: Venous Insufficiency > Flashcards

Unit 3: Venous Insufficiency Flashcards

1
Q

Venous diseases is associated with diabetes.

A

False

COPD, CHF, Steroid use

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2
Q

Pulmonary embolism can be life-threatening.

A

True

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3
Q

Venous disease can be assessed with a doppler.

A

True

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4
Q

Venous wounds have copious amounts of drainage.

A

True

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5
Q

Intravenous Heparin therapy can be administered at home for stable patients.

A

False

Must be in hospital

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6
Q

Warfarin requires monitoring aPTT.

A

False

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7
Q

A patient on warfarin can not have any green leafy vegetables.

A

False

Pt may have a consistent amount of green-leafy vegetables

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8
Q

Compression stockings should only be worn at night.

A

False

Should be worn as much as possible

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9
Q

An IVC device captures thrombosis thereby preventing the thrombus from going to the pulmonary vasculature .

A

True

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10
Q

Venous stasispresents with brawny skin discoloration.

A

True

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11
Q

Thrombosis can lead to pulmonary embolism.

A

True

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12
Q

Describe the pathophysiology of the venous system.

A

Dysfunctional valves lead to
decreased venous return which leads to
Increased venous pressure

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13
Q

What conditions does the pathophysiology of the venous system cause?

A

Increased Edema
Venous Ulcers
Discolored, thick skin

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14
Q

What is hemosidrosis?

A

The discoloration of the skin due to the breaking down of RBCs leaving deposited iron in the skin

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15
Q

What are some of the assessment findings for a patient with venous insufficiency?

A 
Aching, cramping
Present pulses
Thick, though, brawny skin
Edema
Poor Healing
Ulcers
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16
Q

What is the main treatment for aching and cramping due to venous insufficiency?

A

Elevation

17
Q

What are the characteristics of venous ulcers?

A 
Superficial
Pink, uneven edges
Above medial malleolus
Moist
Drainage
18
Q

How are venous wounds prevented?

A

Promote venous circulation:
Excercise
Intermittent compression therapy

19
Q

What are the treatment measures for chronic venous insufficiency?

A 
Compression*
Elevation*
(diuretics)
Prevent or treat infection (antibiotics)
Treat wounds
20
Q

Edema can lead to cellulitis; treatment would require prescription for antibiotics.

A

True

21
Q

An obese, post-op pt has been prescribed elastic compression stockings. The nurse should ensure that the pt wear these ______

A

At all times possible

22
Q

What are risk factors for DVT?

A

*Obesity
*History of prior clots
*Pregnancy
*Estrogen therapy
*Heart disease
*A-fib
Neoplasms
Trauma
Advanced age
Smoking
Hypercoaguability
Immobility

23
Q

What are clinical manifestations of DVT?

A

50% have no symptoms

One leg larger, warm, and red

24
Q

How do you prevent DVT?

A

Avoid prolonged sitting
elevate legs when sitting
Avoid leg crossing
Compression stockings

25
Q

What are diagnostic studies for DVT?

A 
CBC
D-dimer
Venous-duplex ultrasound
CTV
Contrast venography
26
Q

How do you treat DVT?

A

Anticoagulant therapy
thrombolytic therapy
Greenfield Filter

27
Q

What is the lab value for patients on heparin?

A

Activated partial throboplastin time

aPTT

28
Q

What is a major complication of heparin therapy?h

A

Heparin inducedthrobocytopenia (HIT)

29
Q

What is the reversal agent for Heparin?

A

Protamine Sulfate

30
Q

What is Pulmonary Embolus?

A

A clot that has lodged in a pulmonary artery

31
Q

What are the signs and symptoms of PE?

A 
Sever sudden SOB
Chest pain
Decreased O2 sat
Hypoxemia
Deterioration
32
Q

What are the clinical manifestations of PE?

A 
Hypoxemia
Hemoptysis
Dyspnea
Tachypnea
Tachycarida
Hypotension
COugh
Chest Pain
33
Q

How do you treat PE?

A

Oxygen
Thrombolytic therapy(ICU)
Anticoagulants

34
Q

What is the aPTT therapeutic range of Heparin?

A

1.5-2.5 times the normal range

35
Q

What is the INR therapeutic range?

A

2.0-3.0

36
Q

What would you include in discharge teaching after a PE?

A

S/S of bleeding
Meds need to be taken & do not exchange for generic
Wear alert braceler

37
Q

What is the reversal agent for warfarin?

A

Vitamin K

FFP

NUR123 Exam 1 (5 decks)

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