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Flashcards in VTE Deck (14):
1

DVT?

Clot in a deep vein usually in the leg, partially or completely block blood flow

2

PE

Biggest concern when someone has VTE
This is a portion of a venous clot that breaks off and travels through the blood stream into the lungs and partially or completely blocks a pulmonary artery

3

Incidence of DVT and PE ____ each decade after age 50

almost doubles

4

First manifestations might be?
Post thrombotic syndrome

can be sudden death

5

Risk factors for developing a VTE?

- Age is a big factor risk doubling each decade after 50
-The strongest risk factor is having the hiighest risk 6 mo after VTE
- If someone is hospitalized for an extended period of time
- Anesthesia
- Paralysis
- Immobility
- Vascular injury like having a knee or hip replacement, pelvis fracture
- Cancer, pregnancy before and after
- Protein C or S defiviency

- Contraceptives with estrogens can increase risk.
- Estrogen replacement therapy
- SERMs- Tamoxifen, taloxifene
- HIT`

6

How do you know if someone has a DVT?

Leg pain, tenderness, swelling, warmth
Pain has nothing to do with size of clot

7

PE how to know?

- 90% of the time it has a complication with a DVT
- hard to diagnose
- Treat before you know there is a clot often.

8

PE signs and symptoms

non-specific and insensitive
Silent
- Cough, SOB, chest tightness, dizziness light headache if its a big one

9

PE signs

increased HR, high BR
sweating, blue discoloration
can have cardiogenic shock and dies fast

10

Diagnose VTE

- Look for symptoms
- search for risk factors
- Rapid diagnostic testing
- Lab- D-dimer
- Treat
- avoid treatment

11

Gold standard in DVT diagnosis?

Venography

12

What is commonly used in DVT diagnosis?

Ultrasound

13

Diagnosing a PE?
Treatment is the same as DVT?

Ventilation perfusion scan commonly used
yes

14

Long term consequences of having a VTE?

Recurrent VTE
Postthrombotic Syndrome- cause by the damage, pain, Sx are persistent