Pulmonary Emboli Flashcards

1
Q

How to manage/NI?

A

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2
Q

Notify MD of s/s/ Consult Respiratory

A

Interdisciplinary approach , safe and quality care

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3
Q

Secure and maintain a patent airway /Monitor O2 Sat/ Continuous Pulse ox

A

To determine / prevent respiratory distress

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4
Q

Administer O2

A

Aids in meeting tissue oxygen needs

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5
Q

Raise Head of bed

A

Semi fowler’s / High Fowlers position to promote ventilation / facilitate breathing

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6
Q

Ecg/Cardiac monitoring

A

to determine any cardiac changes - dysrhythmias

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7
Q

Assess lung sounds

A

To assess for crackles (hemoptysis), wheezing

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8
Q

Monitor ABGs

A

Pao2 is low because of inadequate oxygenation secondary to an occluded pulmonary vasculature preventing matching of perfusion and ventilation

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9
Q

Assist in coughing , turning and deep breathing

A

mobilizes secretions , prevents atelectasis

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10
Q

Bed Rest

A

To conserve energy, facilitate breathing , decrease myocardial oxygen consumption

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11
Q

WHAT SHOULD I REPORT TO THE PHYSICIAN?

A

History of DVT, Pelvic surgery

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12
Q

2re

A

Resp Status

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13
Q

3re

A

LOC

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14
Q

4re

A

BP, Pulse, Temp

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15
Q

5re

A

Heart/Lung sounds

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16
Q

WHAT ORDERS SHOULD I ANTICIPATE ?

A

O2

17
Q

2an

A

Chest Xray

18
Q

3an

A

Ecg / Cardiac Monitoring

19
Q

4an

A

Spiral CT Scan

20
Q

5an

A

IV Heparin

21
Q

6 an

A

Warfarin

22
Q

7 an

A

vasopressors if decreased BP

23
Q

8an

A

VQ scan

24
Q

9an

A

ABGs

25
Q

10 an

A

D-dimer

26
Q

11an

A

Pulmonary angiogram

27
Q

12an

A

PT/PTT , INR

28
Q

13 an

A

Platelets

29
Q

14 an

A

Morphine