NURS5463 Exam 2 Questions and Correct
Answers
high probability for DVT? Ans: Wells Score >2
high probability for PE? Ans: Wells criteria >6
high risk for bleeding 0-3 months? Ans: >2 risk factors = no
anticoagulation
contraindicated in renal patients and mechanical heart valve
patients? Ans: Factor Xa inhibitors
1st line anticoagulation in cancer patients? Ans: LMWH
all VTE treated in what patients? Ans: cancer patients
CI in GFR <30 Ans: LMWH and Fondaparinux, prescribe heparin
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high risk for VTE via padua prediction? Ans: >4, need
pharmacologics unless high risk of bleeding >2
low risk padua prediction <4 in nonsurgical patients? Ans: no
prophylaxis needed
prophylaxis in orthopedic patients? Ans: LMWH for 10-14 days
most common inherited thrombophilia? Ans: Factor V Leiden
PCR testing- G20210A? Ans: Prothrombin Mutation
mutation on chromosome 3 Ans: PROS1 mutation in PRrotein S
deficiency
anticoagulants except heparin and LMWH & VTE within 3 months
interferes with what testing? Ans: free protein S levels, protein C
function assay, and antithrombin functional assay
hemophilia A factor deficiency? Ans: factor VIII, sex linked
recessive
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factor replacement and dDAVP treatment? Ans: hemophilia A
factor ? in hemophilia B? Ans: factor IX
? prolonged in hemophilias? Ans: PTT
ADAMTS13 deficient <10% confirms Dx? Ans: Thrombotic
thrombocytopenia purpura TTP
plasma vWF <30 and factor VIII normal? Ans: Von Willebrand
Disease
treatment of type 1 and some of type 2 vWD? Ans: dDAVP
treatment of some type 2 and all type 3 vWD? Ans: recombinant
vWF
LDH high, bilirubin high? Ans: TTP and ITP
dexamethasone slows destruction of plts in? Ans: TTP and ITP
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