Patients with DVT-FARM ESCAPE ROOM

Patients with DVT-FARM ESCAPE ROOM

Help on the farm with daily chore

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Chickens and their eggs

Collect chicken eggs for each correct answer

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question 1/4

What is a Deep Vein Thrombosis (DVT)?

Blood clot that forms (usually int the legs) from hypercoagualbility, venous statis and endothelial injury

Narrowing of the arteries due to plaque formation whcih causes decreases blood flow

Collect

The accumulation of excess fluid in the bodys tissues

question 2/4

Which of the following could indicate a DVT?

Sudden chest pain and shortness of breath

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Cold, pale, and numb extremities

Warmth, edema and hardness over blood vessel in leg

question 3/4

Which of the following is not a diagnostic test for DVT?

Contast Venogram

Electrocardiogram (ECG/EKG)

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Doppler flow study

question 4/4

What care should the nurse do for DVT?

Massage the affected limb to help and to put a pillow under the limbs prevent clots

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Encourage ambulation (dorsiflexion/plantar flexion exercises of the foot when in bed

Wear compression stockings if DVT is suspected

Well done! Happy chickens

Cluck, Cluck...

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Cows and their milk

Milk the cows for each correct answer

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QUESTION 1/4

Which statement shows the new nurse needs more teaching about Dabigatran use?

""This has a direct effect on factor Xa which lysis the thrombus"

"For direct thrombin inhibitors there is no need pt/ptt monitoring after intial labs"

Milking

"Idarucizumab is the antidote to reverse dabigatran in life-threatening events by preventing dabigatran from inhibiting thrombin"

QUESTION 2/4

What statement indicates the patient needs more teaching about Warfarin?

Milking

"I need to eat the same amount of leafy greens each day or it will effect my clotting"

"I need to have my PT/INR checked every few months after starting Warfarin"

I’ll avoid using sharp razors or rough toothbrush while on warfarin beacuse it can cause risk of bleeding"

question 3/4

Which statement about Heparin is correct?

The lab aPTT is checked only once daily after the start of Unfractioned Heparin

Milking

Low molecular weight Heparin can be given in the muscle

Unfractioned heparin is given IV and Promatine sulfate is the antidote for exccessive bleeding

question 4/4

What is true about DVT and thrombolytic therApy?

Thrombolytic therapy must be started within 5 days of development of a clot for it to be effective

Milking

Do not provide the medication within direct contact with thrombus as it will be ineffective

bleeding precautions (use electric instead of bladed razor and brush teeth with a soft toothbrush) are not needed for this medication

Well done! Happy cows

Mmoooo...

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Pigs and their food

Feed the pigs for each correct answer

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QUESTION 1/4

Which theraputic procedure helps treat DVT if anticoagulant therapy is contradicted?

Feed

QUESTION 2/4

Which condition can be lifethreatening after a DVT beomes dislodged?

Feed

QUESTION 3/4

What are the manifestations of a Pulmonary embolism (PE)?

• Headache

neck stiffness

• dyspnea, pleuritic chest pain, restlessness, apprehension, feelings of impending doom, cough, and hemoptysis

Feed

• Sudden weakness on one side of the body

• Fever
• productive cough

QUESTION 4/4

What are three main factors that cause thrombosis?

• Charcot’s Triad-
• Fever
• Jaundice
• RUQ pain

• Virchow’s Triad
• Stasis of blood
• Endothelial injury
• Hypercoagulability

Feed

• Triad of Diabetes
• Polyuria
• Polydipsia
• Polyphagia

• Cushing’s Triad
• Hypertension
• Bradycardia
• Irregular RR

Well done! happy pigs

OinK, oink...

continue

All right, daily chores done!

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FInalize

CONGRATULATIONS! references: RN adult medical surgical nursing (12th ed.). Assessment Technologies Institute.

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