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Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
Pulmonary embolism
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Pulmonary embolism

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  • 1. Pulmonary Embolism Natalie Bermudez, RN, BSN, MS Clinical Educator for Telemetry Telemetry Course
  • 2. Pulmonary Embolism
    • Statistics
    Occurs in more than 600,000 patients annually in the U.S. Contributes to 50,000 to 200,000 deaths per year Two-thirds of patients with fatal cases will die within one hour of presentation (Woods et al, 2005, p.166)
  • 3. Pulmonary Embolism
    • Statistics
    The mortality rate for hospitalized patients with PE has remained at approximately 15% over the past 40 years. (Woods et al, 2005, p.166)
  • 4.
    • An obstruction of the pulmonary artery or
    • one o f its branches by a thrombus (or
    • thrombi) that originates in the venous
    • system or the right side of the heart .
    Pulmonary Embolism
  • 5.  
  • 6.
    • Most common thromboembolic problem in patients with
    • heart failure
    • Also caused by fat, air, amniotic fluid or septic emboli
    Pulmonary Embolism
  • 7.
    • Risk Factors:
    • DVT
    • Atrial Fibrillation
    • CAD
    • CHF
    • Hemostasis
    Pulmonary Embolism
    • Risk Factors:
    • Postpartum
    • Postoperative
    • Oral Contraceptives
    • Obesity
  • 8.
    • SIGNS & SYMPTOMS:
    Pulmonary Embolism
    • Dyspnea
    • Chest Pain
    • Hemoptysis
    • Tachycardia
    • Hypoxia
    • Anxiety
    • Fever
    • Cough
    • Diaphoresis
    • S/S of DVT
  • 9.
    • Diagnostic Evaluation
    Pulmonary Embolism Chest x-ray
  • 10.
    • DIAGNOSTIC EVALUATION:
    • CT Angiogram of Chest
    • V/Q Scan
    • D-dimer
    • ABG’s
    • Peripheral Vascular Studies (etiology)
    • EKG (etiology)
    Pulmonary Embolism
  • 11.
    • DIAGNOSTIC EVALUATION:
    • D-dimer
    • It is a fibrin degradation fragment
    • Occurs through fibrinolysis
    Pulmonary Embolism
  • 12.
    • DIAGNOSTIC EVALUATION:
    • V/Q Scan
    • Ventilation & Perfusion Scan
    • 2-part Test
    Pulmonary Embolism
  • 13.
    • TREATMENT OF SYMPTOMS:
    • Analgesics
    • Supplemental O 2 Therapy
    Pulmonary Embolism
  • 14.
    • MEDICAL MANAGEMENT:
    • Anticoagulant Therapy
    • Thrombolytic Therapy
    • Bedrest
    • Surgical Embolectomy
    Pulmonary Embolism
  • 15.  
  • 16. References
    • Hodgson, B. B., & Kizior, R. J. (2007). Saunders nursing drug handbook. St. Louis, MS: Saunders Elsevier.
    • Skidmore-Roth, L. et al. (2007). Mosby’s nursing drug reference, (20 th ed.). St. Louis, MS: Mosby Elsevier.
    • Smeltzer et al. (2008). Brunner and suddarth’s textbook of medical-surgical nursing, (11 th ed.). Philadelphia, PA: Lippincott Williams and Wilkins.
    • Woods, S. L., Sivarajan Froelicher, E. S., Underhill Motzer, S., & Bridges, E. J. (2005). Cardiac Nursing (5 th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

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