Venothromboembolism

Question 1

DVT Locations

Answer 1

Proximal: worse, closer to bigger vessels
-popliteal & sup femoral (MC), proximal veins

Distal: smaller vessels
-Calf DVT extends proximally 30%

Question 2

Proximal Deep Vein Thrombosis

Answer 2

-PDVT
-most dangerous lower extremity because it can move

Question 3

Role of PT in DVT

Answer 3

Prevention:
-mobility, screen risk, education, compression, know signs, recommend testing

Post-DVT:
compression, verify anticoagulants, mobility, consult with team, screen for fall risk

Question 4

Test Risk of DVT

Answer 4

-Pauda Prediction Score
-Pt history and risk factors

Question 5

Test of Having DVT

Answer 5

-Wells DVT
-probablity of DVT
-Current symptoms

Question 6

Lab Test to Determine DVT

Answer 6

D-Dimer Test:
-reflects amount of degradation of a clot
-followed by ultra sound

PT Prothrombin Time:
-time it takes to clot, prothrombin to thrombin
->25 high risk for bleeding

PTT Partial Thromboplastin Time:
-22-32s
-heparin makes the value 2x higher

V/Q Scan:
-diagnose PE
-air is white and bad
-black is good and perfused

Question 7

Inferior Vena Cava Filter

Answer 7

-filter in IVC to catch blood cloths