pulmonary emboli Flashcards
1
Q
in a HUGE PE, what might you see on ecg and X-ray
A
ECG - S1Q3T3
Xray - filling defect
see word fille -“emergency med fflow diagrams”
2
Q
how do you manage an unstable PE? 2022
A
ABCDE
O2
Fluid resus
Vasoactive agent if needed eg noradrenaline
-> Unfractionated heparin 10,000U IV loading.. followed by dose by kg
2nd line IV alteplase
once stable; DOAC etc
3
Q
what is a massive PE?
A
one where there is haemodynamic instability;
hypotension sbp <90 and or shock
