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NSG 4330: QUIZ 1| QUESTIONS WITH 100% CORRECT ANSWERS| LATEST UPDATE 100% VERIFIED

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NSG 4330: QUIZ 1| QUESTIONS WITH 100% CORRECT ANSWERS| LATEST UPDATE 100% VERIFIED

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NSG 4330: QUIZ 1| QUESTIONS WITH 100% CORRECT ANSWERS| LATEST UPDATE 100%
VERIFIED



What is a pulmonary embolism? A condition in which one or more arteries in the lungs
become blocked by a blood clot.



What is the classic triad of a PE? -Dyspnea

-Pleuritic chest pain

-Hemoptysis (coughing up blood)



Diagnostic studies for PE - CT scan

- VQ scanning

- Ddimers (indicative of a thrombotic event but not diagnostic)

- ABG (not diagnostic)



When is ventilation perfusion scanning contraindicated? In patient with significant renal
failure that can't use contrast



3 preventions of PE - Early ambulation

- Compressive devices to mimic valvular compression

- prophylactic anticoagulants



Anticoagulation therapy: 1 vitamin K antagonist and its antidote Warfarin

Antidote: Vitamin K



Anticoagulation therapy: 3 indirect thrombin inhibitors and their antidote 1. unfractionated
heparin

, 2. LMWH

3. Enoxaprin



Antidote: Protamine sulpahate (RISK OF ANAPHYLAXIS)



Anticoagulation therapy: 1 direct thrombin inhibitors and its antidote Dabigatran (paradax)



antidote: Praxbind



Anticoagulation therapy: 2 direct Xa inhibitor and their antidote Apixaban- Eliquis

Rivaroxaban - Xarelto



Antidote: PCC (prothrombin complex concentrate)



What is pulmonary HTN? Primary disease or complication of other cardiac and respiratory
disorders. There is an increased blood pressure in the lungs which results in a higher resistance
for the right ventricle to overcome. This results in right ventricular hypertrophy.



What is the most common sign of pulmonary HTN? what are 3 other signs that may occur?
Most common is dyspnea (SOB) upon exertion

1. Dizziness

2. Chest pain

3. Swelling of legs (Right sided HF)



What is a medication that can be used for pulmonary HTN but is not is not the primary intended
use? Viagra can be prescribed for pulmonary HTN because it causes vasodilation.

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