CC Jan 2016 Ambulation after deep venous thrombosis

echoecho's version from 2016-01-01 18:09


Question Answer
The majority of patients with DVT will require what therapy?anticoagulation
The exception to therapy is in what patient type?patients with acute isolated distal DVT of the leg WITHOUT severe symptoms OR risk factors for extension who can be followed by serial imaging x 2 weeks
What are the recommendations by the American College of Chest Physicians (ACCP) as to treatment of a DVT?initial parenteral anticoagulation with low-molecular-weight heparin, fondaparinux (Arixtra), IV or subcutaneous unfractionated heparin (UFH), as well as simultaneous initiation of a vitamin K antagonist (warfarin, Coumadin) with overlap of therapy for at least 5 dyas
while some of the newer anticoagulants are approved for treatment of DVT, they were not included in the 2012 recommendations, true or false?true
Traditionally, bed rest has been recommended for patients wtih DVT, why?because of the concern that early ambulation might increase the risk of pulmonary embolism
However, ____ is one of the components of Virchow's triad, the other two being hypercoagulable state and endothelial injury?stasis
*** The American College of Chest Physicians (ACCP) recommends what to minimize the risk of postthrombotic syndrome (PTS)?early ambulation over bed rest and the use of compression stockings x 2 years
What does use of compression stockings in the acute phase help with, thus allowing for early ambulation?help with pain and edema
*** SUMMARY = Early ambulation after DVT or pulmonary embolism is associated with an increased rate of pulmonary embolism, true or false?false; early ambulation after DVT or PE is NOT associated with increased rates of PE
*** SUMMARY = The use of what in the acute phase may help with pain and edema in the affected extremity, thus allowing for early ambulation?compression stockings