Pulmonary embolism Flashcards
1
Q
PE- Eti
A
- Disseminated DVT
- High mortality- 85% death within 8 hrs
- 600,000 per year
2
Q
PE- Risks
A
- Immobility, hyperviscosity, increased venous pressure (pregnancy, low CO), vessel damage, hypercoaguable state- Cancer, pancreatic
3
Q
PE- Sx
A
- Dyspnea & chest pain
- Tachypnea
- Hemopytiss
- Syncope
- Rales
- Tachycardia
4
Q
PE- Dx
A
- CT angiography
- Venous US
5
Q
PE- Tx
A
- Heparin/ LMWH
- Warfarin 3 months to lifetime
- Thrombolytic therapy- only hemodynamically unstable pts
- Surgery
6
Q
Wells criteria
A
Indicates probability of PE based on :
- Clinically suspected DVT
- Alt dx less likely
- Tachycardia
- Immobilization
- Hx of DVT
- Hemoptysis
- Malignancy
7
Q
Well score > 6
A
High prob- 59%
8
Q
Wells score 2-6
A
Moderate- 29%
9
Q
Wells score <2
A
Low- 15%
