21.5 Emergencies- Pulmonary embolism Flashcards
1
Q
When is prime time for a pulmonary embolism?
A
1-2 weeks after surgery
2
Q
What are the risk factors for a PE?
A
Malignancy Surgery Trauma Immobility Pregnancy Previous thromboembolism
3
Q
What are the symptoms of a PE?
A
Acute dyspnoea Pleuritic Chest pain Haemoptysis Syncope Leg pain and swelling?
4
Q
What are the signs of a PE?
A
Hypotension, tachycardia, gallop rhythm,
Raised JVP, right ventricular heave, pleural rub
tachypnoea, cyanosis, AF
5
Q
What investigations should be done for a suspected PE?
A
U&E's, FBC's, Baseline clotting ECG CXR decreased vascular markings,Wedge shaped area ABG Serum d dimer (low sensitivity) CTPA/ V/Q scan
6
Q
What is the management of a pulmonary embolism?
A
Oxygen if hypoxic
Morphne 5-10mg IV with anti-emetic
IV acess and start LMWH
7
Q
What should treatment be if a patient with a PE is not
heamodynamically unstable?
A
Fluid bolus
Persistnetly low BP consider vasopressor or noradrenaline
