Which factors increase pulmonary embolism risk?
Major orthopedic surgery, prolonged immobility, active cancer, and pregnancy increase PE risk.
Study 5 Pulmonary Embolism Practice Questions with 12 free online flashcards. Review key terms, definitions, and concepts with this interactive flashcard deck.
Which factors increase pulmonary embolism risk?
Major orthopedic surgery, prolonged immobility, active cancer, and pregnancy increase PE risk.
What findings can suggest an acute pulmonary embolism?
Sudden shortness of breath, pleuritic chest pain, tachycardia, and low oxygen saturation raise concern for acute PE.
What is the priority response to suspected PE with confusion and hypotension?
Activate the rapid response or emergency system, stay with the patient, and support airway, breathing, and circulation.
Which imaging test commonly checks pulmonary arteries for a clot?
Computed tomography pulmonary angiography (CTPA) is commonly used to image the pulmonary arteries for a clot.
What is the main purpose of anticoagulants in most PE cases?
Anticoagulants help prevent the existing clot from growing and reduce the chance of new clots forming.
What important complication should be monitored during anticoagulant therapy?
Anticoagulants increase bleeding risk, so patients receiving them need monitoring for signs of bleeding.
What advanced treatments may be considered for PE with persistent shock?
Persistent hypotension or shock may prompt evaluation for thrombolysis or a catheter-based or surgical intervention, depending on the patient and bleeding risk.
What key problems require close monitoring in pulmonary embolism?
Closely monitor for worsening oxygenation, hemodynamic instability, and bleeding.
Do symptoms alone confirm a pulmonary embolism?
These findings raise suspicion but do not confirm PE; urgent clinical evaluation is needed.
What respiratory support and follow-up are appropriate during acute PE deterioration?
Support oxygenation according to emergency protocol or orders, and continuously reassess the patient.
What scan may be considered instead of CTPA?
A ventilation-perfusion (V/Q) scan may be considered instead, depending on the patient and clinical circumstances.
What is the role and limitation of a D-dimer in PE evaluation?
A D-dimer may help guide whether further testing is needed, but it does not confirm PE by itself.
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