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VTE ILE 8 Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

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VTE ILE 8 Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

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  • June 19, 2024
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VTE ILE 8
what are ways a thrombus can form?
-after a major injury or surgery
-overly active coagulation system
-inactivity


what age group is it more likely in?
-elderly, but can happen to anyone




where does a thrombus normally start?
deep vein thrombosis in the leg


What happens if the thrombus dislodges and moves to the lung?
PE (pulmonary embolism)


risk factors for DVT
-immobility
-pregnancy or postpartum
-previous or active cancer
-recent surgery
-previous DVT or family history of DVT
->40 years old
-hormone therapy or oral contraceptives
-limb trauma and/or orthopedic procedures
-coagulation abnormalities
-obesity


What are symptoms of a DVT?
-pain
-discoloration of leg
-calf or leg pain or tenderness

,-warm skin
-surface veins become more visible
-leg fatigue


What are the initial symptoms of a DVT?
pain, tenderness, erythema (redness), swelling


What are the 3 factors of formation? (Virchow's Triad)
1. stasis of blood
2. hypercoagulability of blood
3. vessel wall injury


How can a risk for DVT be evaluated?
Wells Score


what does a wells score of >4 mean?
PE likely


What does a Wells score of </= to 4 mean?
PE unlikely


What is the next step to run if the Wells score is </=4 which means a PE
is unlikely?
D-Dimer test


What needs to happen if the D-Dimer test is positive?
Imaging


What does it mean if the D-Dimer test is negative?

, PE ruled out


What is the imaging is positive?
begin anticoagulation meds


What is the Well score is >4, which means PE likely, what is the next
step?
Imaging


what is the imaging is positive?
begin anticoagulation meds


What if the imaging is negative?
PE ruled out


What does a thrombolytics do?
-dissolves a formed clot


why don't we usually use a thrombolytic?
the risk of bleeding outweighs the benefit


What does the medication class antithrombotics include?
-anticoagulants
-antiplatelets


What do anticoagulants do?
inhibit clotting factors

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