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8 Cards in this Set
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- Back
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Predisposing factors to DVT
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older age
immobilization previous DVT anesthesia surgery - orthopedic (especially hip) pregnancy malignant disease hypercoagulable state |
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clinical symptoms of PE
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shortness of breath
very nonspecific |
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nonthrombic causes of PE
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fat (long bone fracture)
amniotic fluid (pregnancy) foreign body tumor spetic |
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D-dimer test
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not an initial test for PE
indicates clotting (somewhere) use if Wells criteria indicates unlikely PE |
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best test for PE
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spiral CT scan angiography
followed by V/Q lung scan and then pulm angiogram |
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wells criteria for PE
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determine probability of PE
includes: clinical symptoms of DVT (leg swelling, pain with palp) other diagnosis less likely HR > 100 immobilization previous DVT/PE hymoptysis malignancy ------------ if > 6 then high probability |
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management for PE/DVT
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heparin is best
thrombolytics if person has PE and is hypotensive IVC filter to prevent further occurance |
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PERC (PE rule out criteria)
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age less than 50 years
HR less than 100 bpm oxyhemoglobin sat > 95% no hemoptysis no estrogen use no prior DVT no leg swelling unilateral no surgery or trauma requiring hospiralization |
