RRAPID PULMONARY EMBOLISM

Question 1

Risk factors (12)

Answer 1

1. malignancy
2. post-surgery
3. immobility
4. oral contraceptive pill
5. pregnancy
6. DVT
7. age
8. obesity
9. smoking
10. infection
11. dehydration
12. inherited thrombophilias

Question 2

Symptoms (7)

Answer 2

1. sudden SOB
2. pleuritic chest pain
3. haemoptysis
4. syncope
5. CVS collapse

• tachycardia
• hypotension

6. increased JVP
7. hypoxia

Question 3

What is seen in the CXray?

Answer 3

it is normal

Question 4

When and why do you do a CT pulmonary angiogram? (2)

Answer 4

• to confirm the diagnosis

- only if the patient is stable

Question 5

ABCDE (1, 3, 4)

Answer 5

A

1. sit the patient up

B

1. O2 15l/min non-rebreathe mask/ reservoir mask
2. NIV or IV is necessary
3. ABG

C

1. IV access
2. Bloods
3. ECG

4 fluid bolus

Question 6

What is the treatment?

Answer 6

1. anti coagulate the patient
   - LMWH
2. thrombolysis