Pulmonary Embolism Flashcards
1
Q
How do you diagnose PE with abnormal chest x-ray?
A
CT with IV contrast
2
Q
How do you diagnose PE with bad kidneys?
A
V/Q scan
3
Q
How long do you bridge someone with heparin to Coumadin?
A
INR of 2-3 or 5 days, whichever is longer
4
Q
One leg is more swollen than the other, what do you do?
A
DVT via ultrasound
5
Q
PE and IVC filter?
A
Contraindication to anticoagulation, remove filter as soon as anticoagulation is over
6
Q
PE and metastatic cancer tx?
A
Low molecular heparin (no bridge)
7
Q
PE and tPA?
A
Massive PE and hypotension
8
Q
What does the ABG look like in a PE (that you’ll see on the USMLE)?
A
low PCO2
low PO2
Respiratory Alkalosis
