VTE Treatment Care Levels Quiz

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Which factor would not increase the Wells Score for PE in the context of VTE risk assessment?

Heart Rate >100bpm (correct)

Malignancy treatment in the last 6 months

Hemoptysis

Previous DVT or PE

What is the purpose of assessing bleeding risk prior to starting anticoagulation for VTE?

To determine the patient's platelet count

To predict the risk of extension of the clot (correct)

To decide on the duration of anticoagulation

To prevent potentially fatal embolization of the clot

What is considered a moderate risk of bleeding in relationship to the duration of the anticoagulation for VTE?

2 risk factors

0 risk factors

1 risk factor (correct)

3 risk factors

In the context of VTE, which situation would be an indication for outpatient care rather than inpatient treatment?

Normal renal function and reliable follow-up Signup and view all the answers

In the context of anticoagulation therapy for VTE, what are considered absolute contraindications to anticoagulation?

Active bleeding Signup and view all the answers

When considering anticoagulant therapy for VTE, which factor should be a primary concern?

Hypercoagulable states Signup and view all the answers

Why is it important to involve the patient and family in the decision-making process regarding anticoagulation therapy for VTE?

To enhance adherence to the treatment plan Signup and view all the answers

What should be a significant consideration when assessing the risk of bleeding in VTE patients?

PT/INR levels Signup and view all the answers

In treating an unstable PE, what should be the initial focus of management?

Initiating anticoagulant therapy Signup and view all the answers

Which is a key goal of anticoagulation therapy for VTE?

Preventing extension of the clot and embolization Signup and view all the answers

What is the most common preventable cause of hospital-related death?

Venous Thromboembolism (VTE) Signup and view all the answers

Who is at a greater risk for VTE according to the text?

Men Signup and view all the answers

When is the incidence of VTE the highest?

Post-partum period Signup and view all the answers

Which group of patients have an increased risk of developing a VTE, even with prophylactic therapy?

Patients admitted to the ICU Signup and view all the answers

What percentage of VTEs occur within 3 months following hospitalization?

45% Signup and view all the answers

When should anticoagulation therapy be initiated for VTE?

Once a diagnosis of VTE (DVT or PE) is made, unless there are contraindications Signup and view all the answers

Which condition indicates a low-risk PE allowing for treatment at home?

Clinically stable individuals with good cardiopulmonary reserve Signup and view all the answers

What level of care is typically needed for intractable pain or complete venous obstruction due to DVT?

Inpatient care Signup and view all the answers

Who should be anticoagulated according to the provided text?

Patients with UEDVT involving the axillary or more proximal veins Signup and view all the answers

What defines 'low risk' in the context of PE treatment at home?

Clinically stable with good cardiopulmonary reserve Signup and view all the answers

When can parenteral anticoagulants be started empirically in persons with an intermittent risk of VTE?

If the test results will take more than 4 hours Signup and view all the answers

What is recommended for persons with a high risk of bleeding at 3 months?

Not to be anticoagulated Signup and view all the answers

Why are many bleeding risk scores related to anticoagulation for patients with atrial fibrillation not necessarily applicable for VTE patients?

Different underlying conditions between the two patient populations Signup and view all the answers

What is recommended for persons with a low risk of bleeding at 3 months?

To be anticoagulated Signup and view all the answers

What is the general recommendation for persons with an intermittent risk of bleeding at 3 months?

Varying opinions exist Signup and view all the answers

What is the most common VTE risk factor among patients undergoing major surgery?

Previous VTE Signup and view all the answers

Which condition is NOT listed as a risk factor for VTE development?

Infection Signup and view all the answers

Which type of thrombosis is classified as a Proximal DVT?

Popliteal vein Signup and view all the answers

Which surgery duration is NOT associated with an increased risk of VTE according to the text?

< 30 minutes under local anesthesia Signup and view all the answers

Which of the following conditions is part of the Virchow Triad associated with VTE development?

Vessel Damage Signup and view all the answers

What is a common misconception about superficial thrombi?

They are always treated regardless of risk factors Signup and view all the answers

Which type of DVT poses half the risk of causing a PE compared to proximal DVTs?

Distal DVTs Signup and view all the answers

What proportion of symptomatic DVTs are typically located in the proximal veins?

80% Signup and view all the answers

What is a characteristic of distal DVTs that distinguishes them from proximal DVTs?

Tendency to resolve without anticoagulation Signup and view all the answers

Which physical finding is NOT commonly associated with DVT?

Fever Signup and view all the answers

What percentage of distal DVTs are likely to extend to the proximal vein within the first two weeks of diagnosis?

33% Signup and view all the answers

What is a common clinical finding in about 40% of DVT cases but is considered unreliable?

Homan's sign Signup and view all the answers

What is characteristic of non-extending distal DVTs in relation to PEs?

They rarely cause a PE Signup and view all the answers