embolism Flashcards
VAE S+S
decr EtCO2
decr O2
tachycardia
hypotension
VAE management (7)
no N2O
FiO2 100%
aspirate central line
give crystalloid
give vasopressor
incr PEEP
head down/Left tilt (durant’s)
orthopedic bone cement S+S
hypoxia
hypotension
arrythmias
PHTN
decr CO
orthopedic bone cement management
incr FiO2
euvolemia
good BP
how does polymethylacrylate work
exothermic expansion
what are tourniquets inflated to
SBP + 100mmHg
what tourniquet duration is associated with Rhabdo
2+hrs
tourniquet deflation/washout causes
hypotension
tachycardia
decr temp
what are fat embolisms common with
long bone fractures
TPN
CPR
liposuction
fat embolism S+S (7)
dyspnea
petechiae
decr plts
hypoxia
ST changes
decr EtCO2
RV strain
RV strain causes
incr PHTN
fat embolism management (4)
stabilize fracture
O2 therapy
treat hypotension
treat RV strain
RV strain treatment
pulm vasodilation
milrinone
ARDS S+S
decr SpO2
ARDS TV
4-6 mL/kg TV
ARDS FiO2
< 50%
ARDS PEEP
high up to 15
ARDS plateau pressyure
< 27 cmH2O
ARDS drugs
NO
PGE1
prostacyclin
what disorder incr DVT risk
factor 5 leiden
DVT drug prophylaxis
heparin
warfarin
lovenox
neuraxial
DVT management
anticoags
thrombotics
IVC filter
thrombectomy/embolectomy
AFE S+S
tachycardia
cyanosis
shock
generalized bleeding
PE
DIC
uterine atony
seizures
AFE management
CPR
epi
fluid resuscitation
direct vasopressors
treat DIC
treat atony
treat seizures
treat DIC
transfusion
treat atony
oxytocin
methergine
hemabate
cytotec
treat seizures
benzos
severity of AFE is determines by
volume of entrainment
AFE manifestation is due to
anaphylaxis and inflammation
