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Pulm Disease Exam 5

SPC Pulmonary Disease Exam 5 Ch. 21 Pulmonary Vascular Disease

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
Created by: Langhout1418