Pulomonary Embolus Flashcards
What anatomical structures are affected?
All lung lobes.
Right and left pulmonary arteries with branches.
These arteries are blocked. Deep veins can also be blocked
How does this affect the body?
Reduced blood flow to alveoli/lungs. Causes low blood oxygen.
What prior events cause this?
DVT
Immobile
Valsalva manoeuvre - tryinf to breathe out during defecation may trigger an embolism.
Symptoms
Dyspnoea Tachypnoea Chest pain (pleuritic) worsened by breathing Cough Hemoptysis Sudden death.
Clinical signs
Cyanosis
Collapse
Circulatory instability due to decr blood flow
Pleural friction rub - hear an object being rubbed
Pleural effusion
Strain on the right ventricle
Incr jugular venous pressure (seen in neck)
Test results m?
Hypoxaemia
CT shows blood clot in pulmonary artery
How to treat?
Give oxygen
Give thrombolytic drugs via an IV
Anticoagulants