Author Question: Major trauma patients are at a high risk of developing deep venous thrombosis and pulmonary embolism ... (Read 115 times)

mp14 · **on:** Jun 25, 2018

Major trauma patients are at a high risk of developing deep venous thrombosis and pulmonary embolism because of (Select all that apply.)

a. blood stasis.
b. hypernatremia.
c. injury to the intimal surface of the vessel.
d. hyperosmolarity.
e. hypercoagulopathy.
f. immobility.

Question 2

The onset of seizures in the patient with DI indicates

a. increased potassium levels.
b. hyperosmolality.
c. severe dehydration.
d. toxic ammonia levels.

blakcmamba · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A, C, E, F
The factors that form the basis of venous thromboembolism pathophysiology are blood stasis, injury to the intimal surface of the vessel, and hypercoagulopathy. Trauma patients are at risk for VTE because of endothelial injury, coagulopathy, and immobility. Hypernatremia and hyperosmolarity are associated with acute kidney injury.

Answer to Question 2

C
This excessive intake of water reduces the serum osmolality to a more normal level and prevents dehydration. In the person with decreased level of consciousness, the polyuria leads to severe hypernatremia, dehydration, decreased cerebral perfusion, seizures, loss of consciousness, and death.