Superior Vena Cava Syndrome

Superior Vena Cava Syndrome

PAGE 6 JOURNAL OF VASCULAR NURSING www.jvascnurs.net MARCH 2007 Superior Vena Cava Syndrome CE Credit 0.5* CE Code JVN 0307 Valid until 3/08 Name:_...

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PAGE 6

JOURNAL OF VASCULAR NURSING www.jvascnurs.net

MARCH 2007

Superior Vena Cava Syndrome CE Credit 0.5* CE Code JVN 0307 Valid until 3/08 Name:_________________________Address for mailing certificate:__________________________________ Phone number _____________________________ E-mail:_________________________________________ To receive CE credits, read the article, answer each question, and mail this whole page, along with your processing fee check for $10 made out to: Elsevier, PO Box 540, Ellicott City, MD 21041-0540. *This CE credit is calculated by giving one credit per 60 minutes.

Evaluation of the CE Activity 1. Listed below are the educational activity objectives. Please rate the extent to which you are now able to meet each of the objectives: (With 1 as the lowest ranking; and 5 as the highest ranking) Low High a. Describe the most common causes for SVCS 1 2 3 4 b. List the symptoms that comprise SVCS 1 2 3 4 c. Evaluate treatment strategies for the different causes of SVCS 1 2 3 4 2. The objectives clearly relate to the purpose/goals of the activity 1 2 3 4 3. The teaching method was appropriate and effective for the content presented 1 2 3 4 4. The information presented was accurate, current, and at an appropriate level 1 2 3 4 5. This activity met my personal professional expectations 1 2 3 4 6. This content was relevant to my practice as a nurse 1 2 3 4 7. Overall, I would rate this activity 1 2 3 4 8. Minutes required to read the article and complete the questions __________________________________________________

5 5 5 5 5 5 5 5 5

COMMENTS:________________________________________________________________________________________________

Evaluation Test Questions Circle the best answer for each question. Required minimum passing score is 70% 1. Most a. b. c. d.

current SVCS arises from compression from cancer or thrombotic events tuberculosis syphilitic aortic aneurysm AIDS-related opportunistic infections

2. There is an increase in thrombotic causes because of a. increases in lung adenocarcinoma b. increased use of central venous catheters and pacemakers c. increased incidence abdominal or pelvic surgery d. thrombi due to atrial fibrillation 3. The primary symptoms of the syndrome are: a. dyspnea, facial and neck swelling, and dry, nonproductive cough b. swelling of upper extremities and trunk

c. fullness in the sinuses that is worse when standing or leaning forward d. tachycardia and Horner’s syndrome 4. A thorough history and physical examination should be performed. a. check upper extremities for pitting edema b. check skin of the upper chest, particularly on the right for the presence of collateral veins. c. check lower extremities for venous distension, edema, and cyanosis of the skin d. check for yellowing of the conjunctiva and face, thickening of the lips, and hair loss 5. Treatment of SVCS includes a. thrombolysis and course of antibiotics b. radiation and anticoagulation c. bypass of the superior vena cava d. therapy based on the cause of the compression

This 0.5 contact hour educational activity is provided by Nurse Practitioner Alternatives, Inc. NPAI is an approved provider of continuing nursing education by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. This credit is calculated on a 60 minute hour. For questions regarding the content of this activity, contact [email protected]