Massive PE Flashcards
1
Q
What is a massive PE?
A
Massive pulmonary embolism is defined as obstruction of the pulmonary arterial tree that exceeds 50% of the cross-sectional area, causing acute and severe cardiopulmonary failure from right ventricular overload.
2
Q
Meds for massive PE
A
Enoxaparin (lovenox)
Heparin (UF)
tPA (tissue plasminogen activator)
3
Q
Enoxaparin (lovenox) dose (massive PE)
A
1mg/kg SQ
4
Q
Heparin (UF) dose (massive PE)
A
80 U/kg bolus (no max)
Then
18 U/kg/kr drip
5
Q
tPA dose (massive PE)
A
100mg (10mg over 10 min then 90mg over 2 hrs)
if PE is susptected cause of cardiac arrest:
- 50mg over 2 min
- continue CPR x 15 min and repeat PRN