DVT Case Study (Evolve) – Flashcards
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Which term should the nurse use to most accurately reported a clot?
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thrombophlebitis
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Which medication increases the risk of developing a DVT: antibiotics, analgesics, antiasthmatics, oral contraceptives?
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Describe the Virchow's Triad
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Stasis of blood Vessel wall injury Altered blood coagulation
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What physical assessment can be used to identify a DVT?
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The measure provides data regarding the affected leg and a baseline for future comparison. The Homan's sign appears in only 10% of patients and false-positives are common, so it is not advised.
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Which lab value do you check to monitor heparin therapy?
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Heparin is measured by aPTT/PTT and the normal range is 25-41 seconds. Therapeutic is 2-3 times.
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What is a heparin agonist?
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Protamine Sulfate
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What should you do if you walk into a patient's room who is on heparin and has observable hematuria in their urinary catheter (or other frank bleeds)?
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Stop the infusion
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what intervention should the nurse implement to help reduce the risk for abnormal bleeding during heparin therapy?
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what interventions could the nurse implement to reduce pain related to decreased venous flow?
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