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Pulm Disease Exam 5
SPC Pulmonary Disease Exam 5 Ch. 21 Pulmonary Vascular Disease
Question | Answer |
---|---|
A blood clot that forms and remains in the vein is called? | Thrombus |
A blood clot that becomes dislodged and travels to another part of the body is called? | Embolism |
If an embolism disrupts blood flow it develops what? | Pulmonary Infarction |
Pulmonary Infarction causes? | 1. Alveolar Atelectasis 2. Consolidation 3. Tissue Necrosis 4. Bronchospasm |
Pathologic changes associated with Pulmonary Vascular Disease? | 1. Pulmonary Infarction* 2. Alveolar Atelectasis* 3. Bronchospasm* 4. Cosolidation 5. Blockage of PVS |
Deep Vein Thrombosis & Pulmonary Embolism are clinically a what disorder? | Insidious |
T/F 25% of people with large clot will die? | True |
Possible causes of Pulmonary Emboli? | 1. Blood Clots 2. Air 3. Fat 4. Tumor 5. Bone Marrow 6. Amniotic Fluid |
Most common cause of pulmonary emboli? | Blood Clot |
Most blood clots originate from what part of the body? | Lower parts: legs |
3 factors known as Virchows Triad associate with formation of Deep Venous Thrombus. | 1. Venous Stasis (Coach Syndrome-Flying) 2. Hypercoagulability (Surgery) 3. Injury to the endothelial cells (Trauma) |
Risk factors associated with Pulmonary Embolism? | 1. Venous Stasis (Inactivity) 2. Surgery 3. Trauma 4. Hyper-coagulation Disorders- (Oral Contraceptives 5. Malignant Neoplasms |
Common test for Pulmonary Embolism? | 1. Blood Test 2. D-dimer Test 3. Ultrasonography 4. Chest X-Ray 5. CTPA |
Signs of Pulmonary Embolism? | S.O.B. |
Know wells scoring system | Wells Scoring System |
What is the D-Dimer test? | Used to check for increased level of fibrinogen/integral component of blood clotting process. |
Clinical data for Pulmonary Embolism? | 1. Tachypnea 2. Hypoxemia 3. ^HR & Sinus Tachycardia 4. Decrease Blood Pressure |
Abnormal Heart Sounds of Pulmonary Embolism? | 1. Increased 2nd Heart Sound S2* 2. Increased splitting of the 2nd Heart Sound S2* 3. Third Heart Sound S3 |
Breath sounds of Pulmonary Embolism? | 1. Crackles 2. Wheezes 3. Pleural Friction Rub |
What is the I.V.C. Filter? | Prevents clots to be carried to the Pulmonary Circulation |
What is given with all pulmonary embolism patients? | Heparin |
Preventative measure for pulmonary embolism? | 1. Walking 2. Exercise while seated 3. Drink fluids 4. Graduated compression stockings |
Pulmonary Artery Hypertension is when the pressure is what? | >25mmHg due to preexisting disease |
Normal Pulmonary Artery pressure? | 10-20mmHg |
Thrombolytic Agents are commonly referred to as? | Clot busters |
Thrombolytic Agents are sometimes used in conjunction with what? | Heparin |