acute pulmonary embolism Flashcards
1
Q
pulmonary embolism is
A
number 2 cause of unexpected death
2
Q
80% clot come from
A
lower extremities
3
Q
risk factors for PE
A
surgery shock malignancy immobilization paralysis CHF cor-pulmonale trauma pregnancy obesity
4
Q
risk for DVT development: no prophylaxis
A
one week general med
MICU patients
3 days IP with lung disease
CCU post MI
5
Q
virchow triad
A
venous stasis
endothelial injury
hyper-coagulated state
6
Q
most common symptoms of PE
A
- tachypnea
- fever
- hypoxemia
- JVD
- tachycardia
- dyspnea
- cough
- hemoptysis (put on blood thinners)
- CP, pleuritic
- apprehension
7
Q
diagnostic evaluation
A
H&P D-dimer CXR ABG CT angiography V/Q
8
Q
ECG changes for PE
A
sinus tachycardia
atrial fib/flutter
NSST-T changes
S1Q3T3: RV strain
9
Q
V/Q perfusion
A
V venous gas
Q albumin
10
Q
un-matched V/Q perfusion
A
Ventilate area but not being perfused
11
Q
best plan of therapy for acute PE?
A
-LMWH for equal to/or >3 months
12
Q
thrombolytics are given to
A
dying patients
