DVT, A fib, PE

Question 1

If your patient has A fib, what are you most worried about?

Answer 1

congestive heart failure and stroke

Question 2

What is the risk of stroke with A fib?

Answer 2

5X times more likely

Question 3

What are the 2 types of stroke?

Answer 3

hemmorhagic and embolic

Question 4

What is a hemorrhagic stroke?l-

Answer 4

BV breaks (25% of all strokes)

Question 5

What is an embolic stroke?

Answer 5

something breaks off and is in the way

Question 6

WHen people have a mechanical/artificial valve and have A fib, you cant use any (blank) but you can use (blank)

Answer 6

novel therapies

Coumadin

Question 7

What is the leading cause of cardioembolic stroke?

Answer 7

non-valvular A

Question 8

Risk of intracranial bleeding w/ anticoagulation therapy increases with age after (blank) in non-valvular AF

Answer 8

75

Question 9

What are the novel oral anticoagulants?

Answer 9

Pradaxa, ELiquis Xeralto

Question 10

What is the major risk of pradaxa?

Answer 10

GI bleeding

Question 11

What is the target INR for A fib?

Answer 11

2-3

Question 12

There are a lot of (blank) with coumadin so you can get an increase in INR and get bleeding

Answer 12

drug interaxns

Question 13

THe lower the INR the more quickly your blood (blank)

Answer 13

clots!

Question 14

What happens if you are on coumadin (warfarin) and you eat a lot of leafy green high in vit K veggies?

Answer 14

you replace the vit K that coumadin is trying to deplete so you wil decrease INR and get more clotting

Question 15

What is the CHADS2 score?

Answer 15

A fib stroke risk

Question 16

What does CHADS2 stand for?

Answer 16

Congestive Heart failure
Hypertension 
Age (greater than 75)
Diabetes
Strokes/TIA (counts as 2 points)

Question 17

If your Chad scores is greater than (blank) then you need to be on a blood thinner (not aspirin)

Answer 17

1

Question 18

T or F

coumadin is better than aspirin for stroke prevention

Answer 18

T

Question 19

How is pradaxa cleared in the body?

Answer 19

kidney

Question 20

If you have renal failure what NOAC drug cant you use?

Answer 20

Pradaxa (cuz cleared by kidney only)

Question 21

Coumadin is reduces strokes by (blank)

Answer 21

65%

Question 22

Risk of bleeding increases with (blank)

Answer 22

age

Question 23

What 2 drugs are used when placing stents?

Answer 23

Thomboxane and ADP inhibitors

Question 24

NOACs can all be used for (blank)

Answer 24

Atrial fib

Question 25

What are the three NOAC that are factor 10a inhibitors?

Answer 25

Xeralto Pradaxa Eliquis

Question 26

What do you pradaxa for?

Answer 26

AF pts (better than warfarin), PE and DVT

Question 27

What is the INR for a mitral valve replacement

Answer 27

2.5-3.5

Question 28

What is Ttr?

Answer 28

total therapeutic range

Question 29

Use of (blank) can drive up INR

Answer 29

antiobiotics

Question 30

How is eliquis cleared? so can you use this drug in renal failure?

Answer 30

stool liver and kidney | yes!

Question 31

How long does it take for coumadic to get therapeutic?

Answer 31

4-6 days

Question 32

Which drugs can be started right away?

Answer 32

Xareleto, pradaxa

Question 33

What are the risks for DVT?

Answer 33

- long travel - people w/ recent surgery - hormone therapy

Question 34

What is the most common cause of death in pregnant women?

Answer 34

DVT

Question 35

What is the third leading cause of CV death (aside from MI and stroke)?

Answer 35

DVT

Question 36

DVT can be caused from problems in what?

Answer 36

protein C, protein S, factor 5 ledien, antilupus AC

Question 37

What is a pulseless electrical activity

Answer 37

when you see a perfect sinus rhythm but feel no pulse

Question 38

What can PATCHHH tell you and what does it stand for?

Answer 38

``` Risk factors of PEA -PE -Acidosis -Tension pneumothorax -Cardiac tapenade -Hypovolemia -Hypoxemia -Hyperkalemia (these need to be fixed to save someone with PEA) ```

Question 39

What are the symptoms of PE?

Answer 39

arrythmia, mild chest pain, tachycardia, dyspnea, low blood pressure

Question 40

When someone comes nto the ER with a PE what do you start?

Answer 40

IV heparin drip

Question 41

Why cant you use NOAC drugs for a PE in the ER?

Answer 41

because they have long half lifes that can be stopped immediately

Question 42

When do you use subQ heparin?

Answer 42

for PREVENTION of PE or DVT

Question 43

WHen can you give a PE patient novel drugs?

Answer 43

to send someone home after surgery

Question 44

ALL patients need to be on (Blank) before being transferred to pradaxa

Answer 44

Lovinox

Question 45

What is the dosage for Xaralto?

Answer 45

15mg 2 X day then 20mg 1/d after 20 days

Question 46

What is the dosage for eliguis?

Answer 46

10mg/2xd for 7 days and then 5mg 2/x day after that (for about 3 months) for PE