Pulmonary Embolism Flashcards
1
Q
Risk Factors
A
COCP Pregnancy Ongoing malignancy DVT Travel history Stasis (post surgery) dehydration Sepsis Smoking
2
Q
Symptoms
Signs
A
Pleuritic chest pain, cough w/wo haemoptysis, SoB, palpitations, calf pain
Dizziness, hypotension, fever.
Signs: Tachycardia, tachypnoea, hypotension, pleuritic rub, gallop rhythm, ECG S1Q3T3, calf inflammation.
3
Q
Investigations
A
CTPA according with Wells score. If pregnant, VQ perfusion scan.
Bloods: FBC, UandE, CRP, clotting,
ABG
ECG
4
Q
Management
A
Oxygen as required, LMWH, DOAC (apixaban), TRUST GUIDELINES.
Apixaban 3-6 months.
If all else fails, alteplase.
