Venous Disorders (CVI & VTE)

Question 1

T/F: Veins are a high pressure system

Answer 1

False. Veins are a low pressure system responsible for getting blood back to the heart

Question 2

Describe venous ulcers

Answer 2

Above the medial malleolus, painful, deep and wide

Question 3

Describe the skin of CVI?

Answer 3

Leathery with brownish or brawny appearance

Question 4

T/F: CVI patients never experience eczema

Answer 4

False

Question 5

To aid in venous return, what device would you apply to a CVI patient?

Answer 5

SCUDS or compression socks

Question 6

My CVI patient works at Kroger as a cashier, what about her occupation will worsen CVI?

Answer 6

Standing for long periods of time

Question 7

What type of diet is recommended for CVI patients?

Answer 7

High calorie, high protein for skin healing

Question 8

Why do we typically not use TED hose?

Answer 8

An incorrect fit can impede blood flow

Question 9

What are the three factors of virchow’s triad?

Answer 9

Venous stasis, endothelial damage, and blood hypercoagulability

Question 10

List the risk factors of venous stasis

Answer 10

Advanced age, bedrest, heart failure, fractured leg or hip, long trips without rest, obesity, pregnancy and varicose veins

Question 11

T/F: VTE is typically manifest as bilateral edema

Answer 11

False

Question 12

Describe the veins of someone experiencing a VTE

Answer 12

Dilated

Question 13

Most VTE patients describe their legs in this way

Answer 13

Fullness in thighs or calf

Question 14

What is the most serious complication of a VTE

Answer 14

pulmonary embolus

Question 15

How often should a VTE patient ambulate?

Answer 15

q2h

Question 16

Why do we flex/extend feet/hips/knees q 2-4h of VTE patients? (while awake)

Answer 16

To mimic skeletal muscle pump

Question 17

What is another name for a Greenfield filter?

Answer 17

Vena cava filter