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Respiratory > Pulmonary Embolism > Flashcards

Pulmonary Embolism Flashcards

1
Q

Definition

A

Clot lodged in the pulmonary artery- limits perfusion and impairs gas exchange.

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2
Q

Origin of clot

A

Deep veins of the leg

  • long journey
  • post surgery
  • pregnancy
  • thrombophilia (factor V Leiden)
  • tumours
  • MI
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3
Q

Symptoms?

A

Pleuritic chest pain
Cough, Haemoptosis
Acute worsening dyspnoea (isolated)
Syncope/ Cardiac arrest

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4
Q

SIGNS

A 
Dyspnoea
Tachycardia
Pleural rub
Transient Pyrexia
Hypotension
Shock
Hypoxia
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5
Q

Investigations

A 
D-dimer
CXR
FBC- hypoxia (ABG)
ECG- shows tachycardia
CTPA- blood flow through the lungs
V/Q scan
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6
Q

Treatment

A 
Give 02
Thrombolysis
Anticoagulation- LMWH, ASA + clopidogrel
Warfarin/ NOACs
pulmonary embolectomy
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Respiratory (20 decks)

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