P.E.

Question 1

Risk factors for P.E.

4 things

Answer 1

Long bone fracture
Knee or Hip Joint replacement surgery
Bed ridden
Heart disease - A-fib

Question 2

P.E. causes what type of lung disease?

Answer 2

Dead Space

Question 3

What are the signs of P.E.?

Answer 3

Cough
Pleuritic chest pain
Tachycardia
Hypoxemia
Tachypnea
Dyspnea 
Wheezing (RARE)

Question 4

What is an ABG you would see for a patient with P.E.?

Answer 4

Uncompensated Respiratory Alkalosis

With hypoxemia

Question 5

How would you diagnose P.E.?

Answer 5

Spiral CT
CT angiogram
D-Dimer - but be cautious about it in hospital patients
BNP - if its causing back up to the Right heart

Question 6

What is the treatment for P.E.?

4 things

Answer 6

Heparin or Coumadin to prevent more clots

TPA or streptokinase

Oxygen Therapy or Vent Support

Thromboectomy & surgical embolectomy if the patient is high risk or contraindicated for anticoagulant treatment

Question 7

Prophylactic treatment for patients in the hospital and PE?

2 things

Answer 7

SCD

low dose heparin or coumadin