Flashcards in Pulmonary Emboli Deck (17):
Detached intravascular mass carried to lungs by blood
Abnormal blood flow
Hypercoaguable blood (post MI, cancer treatment)
1st - CTPA or V/Q scan (if renal issues present)
What would be present on the ECG?
Acute R strain
What would the d-dimer test show?
LMW heparin or fondaparinux for 5 days or until INR>20 for 24hrs
Warfarin for 3 months or other Vitamin K antagonist
Treatment (large PE)
Thrombolysis if haemodynamically unstable
What is associated with a large PE?
Circulatory failure (e.g hypotension)
What is associated with PE
Describe a pleural effusion that accompanies a PE
small and blood stained
Patients with PE may enter what?
severe chest pain
what investigation would be used in a pregnant patient with suspected PE
a well's score of what makes PE unlikely
< or = 4
a well's score of what makes PE likely