Pulmonary embolism Part 2 Flashcards
Anticoagulants are given if patient is ______ stable and if undergoing ______ or ______ surgery
Hemodynamically , abdominal and thoracic
Death in Pulmonary embolism occurs within ___ hr after onset of symptoms
1
Aside from graduated compression stocking, we can also use ________ to prevent blood stasis in the legs
Intermittent pneumatic compressions
PE can cause the following Complications
Cardiogenic shock, RVF
Cardiogenic shock is caused by ______ RVF is caused by increased ____
Massive Pe, pulmonary artery resistance
In PE, chest xray is not confirmatory but may detect the following:
Infiltrates, atelectasis, diaphragm elevation on affected side, pleural effusion
IN PE, ECG results shows
Sinus tachycardia sue to blood poling, depressed PR interval due to pulmonary resistance and Non specific t wave changes
ABG may show what 2 signs
Hypoxemia, hypocapnia
A test used to measure substances that is released when clots breakdown
D-Dimer Test
This is the definitive test for PE
Pulmonary angiogram
Give 2 anticoagulants can be use for PE & 3 thrombolytic drugs
Heparin, warfarin sodium & urokinase,streptokinase, alteplase
Normal INR for non heparin patient is
0-1
If taken warfarin the normal INR is
2-3
What class of drugs affects warfarin effect altering INR RESULTS
Antibiotic
What surgical management can you suggest for PE
Surgical embolectomy, Transvenous catheter embolectomy, Inferior Vena Cava filter
What are your nursing responsible in carin PE patient
Prevent venous stasis, monitor thrombolytic therapy, manage pain thru turning and positioning, oxygen monitoring and therapy, relieve anxiety
Patients are reminded for follow up check up for
Coagulation test
The pathophysiology of PE IS
Obstruction- Impairment- Constriction- Consequence- Failure
Surgical embolectomy is done by ____ while patient is under
Cardio surgical team , cardiopulmonary bypass
If Inr is high patient is prone to
Bleeding
