Pulmonary Embolism Patho
o :## particulates lodge in pulmonary vessels
most common loosed clots from a DVT
Pulmonary Embolism risk factors
o :## Same as DVT
prolonged immunity
venous catheters
surgery
obesity
old
hx of thromboembolism
smoking
pregnance
heart failrure
stroke
trauma
...
MDC 4 exam 2 Questions and Answers
Pulmonary Embolism Patho
o :## particulates lodge in pulmonary vessels
most common loosed clots from a DVT
Pulmonary Embolism risk factors
o :## Same as DVT
prolonged immunity
venous catheters
surgery
obesity
old
hx of thromboembolism
smoking
pregnance
heart failrure
stroke
trauma
Pulmonary Embolism Prevention
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,2|Page
o :## Prevent DVT
ROM excersise
ambulate
compression socks
anticoagulants
unristrictive clothes on chest
no pillow under knee
no crossed legs
no massage
elevate legs 20 deg.
Pulmonary Embolism assessment
o :## dyspnea sudden
sharp stabbing chest pain
anxiety
cough
hemoptysis
tachypnea
crackles
friction rub
diaphoresis
low grade fever
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,3|Page
petechiae on chest and axillae
Pulmonary Embolism diagnostic test
o :## Early- respiratory alkolosis
late-metabolic acidosis
elevated d-dimer
pulmonary angiogram (gold standard)
Doppler
V/W Scan
Pulmonary Embolism Intervention (nonsurgical)
o :## Rapid response team
elevate HOB
O2 therapy
ABG's
Assess repiratory/cardiac status
anticoagulatns and imaging as perscribed
bleeding precaution
IV fluid therapy
Pulmonary Embolism Surgical intervention
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, 4|Page
o :## Embolectomy- removal of embolus
IVC filter- place a temporary filter so clots can't get to lungs
Acute Respiratory Failure Patho
o :## Mismatch between ventilation and perfusion, gas exchanged is reduced can
become respiratory failure
Acute Respiratory Failure Types
o :## Ventilatory Failure
Oxygenation Failure
Combination Failure
Ventilatory Failure Patho
o :## inadequate oxygen input
too little oxygen into alveoli
CO2 is retained
Ventilatory Failure Patho Causes
o :## physical problem with lungs or chest wall
brain injury
diaphram uncontrolled
Exams and Correct Answers |Best Grades | Excellence | Success
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