Pulmonary embolism Part 2

Question 1

Anticoagulants are given if patient is ______ stable and if undergoing ______ or ______ surgery

Answer 1

Hemodynamically , abdominal and thoracic

Question 2

Death in Pulmonary embolism occurs within ___ hr after onset of symptoms

Answer 2

1

Question 3

Aside from graduated compression stocking, we can also use ________ to prevent blood stasis in the legs

Answer 3

Intermittent pneumatic compressions

Question 4

PE can cause the following Complications

Answer 4

Cardiogenic shock, RVF

Question 5

Cardiogenic shock is caused by ______ RVF is caused by increased ____

Answer 5

Massive Pe, pulmonary artery resistance

Question 6

In PE, chest xray is not confirmatory but may detect the following:

Answer 6

Infiltrates, atelectasis, diaphragm elevation on affected side, pleural effusion

Question 7

IN PE, ECG results shows

Answer 7

Sinus tachycardia sue to blood poling, depressed PR interval due to pulmonary resistance and Non specific t wave changes

Question 8

ABG may show what 2 signs

Answer 8

Hypoxemia, hypocapnia

Question 9

A test used to measure substances that is released when clots breakdown

Answer 9

D-Dimer Test

Question 10

This is the definitive test for PE

Answer 10

Pulmonary angiogram

Question 11

Give 2 anticoagulants can be use for PE & 3 thrombolytic drugs

Answer 11

Heparin, warfarin sodium & urokinase,streptokinase, alteplase

Question 12

Normal INR for non heparin patient is

Answer 12

0-1

Question 13

If taken warfarin the normal INR is

Answer 13

2-3

Question 14

What class of drugs affects warfarin effect altering INR RESULTS

Answer 14

Antibiotic

Question 15

What surgical management can you suggest for PE

Answer 15

Surgical embolectomy, Transvenous catheter embolectomy, Inferior Vena Cava filter

Question 16

What are your nursing responsible in carin PE patient

Answer 16

Prevent venous stasis, monitor thrombolytic therapy, manage pain thru turning and positioning, oxygen monitoring and therapy, relieve anxiety

Question 17

Patients are reminded for follow up check up for

Answer 17

Coagulation test

Question 18

The pathophysiology of PE IS

Answer 18

Obstruction- Impairment- Constriction- Consequence- Failure

Question 19

Surgical embolectomy is done by ____ while patient is under

Answer 19

Cardio surgical team , cardiopulmonary bypass

Question 20

If Inr is high patient is prone to

Answer 20

Bleeding