Week 9 - Lesson 2 (Part 1) Flashcards

1
Q

What veins do we worry about the most?

A

Deep ones

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2
Q

What affects venous flow? (6)

A
  1. Respiratory variations
  2. Cardiac function
  3. Calf muscle pump
  4. Competent venous valves
  5. Venous pressure
  6. Exercise
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3
Q

Is DVT more common on men or women?

A

Women

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4
Q

What ethnicity is DVT more common in?

A

African Americans

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5
Q

What ethnicity is DVT least common in? (2)

A
  1. Asian

2. Native Americans

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6
Q

What are 5 hereditary risk factors of DVT?

A
  1. Blood disorders
  2. Antithrombin deficiencies
  3. Elevated clotting factors
  4. Plasminogen deficiency
  5. Prothrombotic disease
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7
Q

What are 8 acquired risk factors of DVT?

A
  1. Age
  2. Obesity
  3. Advanced malignancy
  4. Recent surgery
  5. Trauma
  6. Immobolization
  7. Pregnancy
  8. Oral contraceptive use
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8
Q

What is plasminogen suppose to do?

A

Break down clots

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9
Q

Why is pregnancy a risk factor? (2)

A
  1. Increase in estrogen
    - leads to clot formation
  2. Pressure from the baby
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10
Q

Where is the most common place for DVT?

A

In the calf at the valve leaflets

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11
Q

What are signs and symptoms for DVT? (3)

A
  1. Lower extremity swelling
  2. Pain
  3. Positive Homan’s sign
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12
Q

Positive Homan’s sign

A

Pain on forced dorsiflexion of foot

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13
Q

What is DVT also called?

A

The silent killer

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14
Q

Why do people with DVT feel pain?

A

Because its closer to the skin

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15
Q

What is virchows triad? (3)

A
  1. Endothelial damage
  2. Venous stasis
  3. Hypercoagulable state
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16
Q

What happens at the virchows triad?

A

Once the lining of the vein is not smooth anymore, this allows blood cells to adhere and coagulate here

17
Q

What is a good example of a cause for clotting?

A

Trauma

18
Q

D-Dimer assay

A

Measures fibrin degradation products that accumulate in the blood when thrombus forms

19
Q

What is unlikely to occur when the D-Dimer test is negative?

A

DVT

20
Q

What contributes to false positives for D-Dimer tests? (4)

A
  1. Patients who are over 80 years
  2. Hospitalized
  3. Pregnant
  4. Cancer
21
Q

PT

A

Prothrombin time

22
Q

Prothrombin time

A

Time it takes the plasma to clot

23
Q

What is PT effected by?

A

Disseminated intravascular coagulation

24
Q

DIC

A

Disseminated intravascular coagulation

25
Q

PTT

A

Partial thromboplastin time

26
Q

Partial thromboplastin time

A

Unexplained bleeding or clotting

27
Q

What is PTT used for?

A

To evaluate hemostasis

28
Q

Hemostasis

A

The process the body uses to form clots and to stop bleeding

29
Q

How does acute thrombus look on US? (2)

A
  1. Faintly echogenic
    - almost invisible
  2. May have a long snakelike clot swaying back and forth in the lumen
30
Q

How is acute thrombus detected?

A

Through limited compression and faint visible edge of clot

31
Q

What are more dangerous acute or chronic clots?

A

Acute clots

32
Q

Why are acute clots more dangerous?

A

Poorly attached clots can easily break off and cause a risk for an emboli