Outpatient Therapy for Hemodynamically Stable PE Patients
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Questions and Answers

Thrombolytic therapy is recommended for all cases of pulmonary embolism.

False

INR, aPTT, hematocrit, and platelet counts are not necessary before starting thrombolytic therapy.

False

Maintenance anticoagulation therapy is initiated after the completion of the thrombolytic infusion.

True

A surgical embolectomy is frequently performed as a treatment for pulmonary embolism.

<p>False</p> Signup and view all the answers

Inferior vena cava (IVC) filter insertion is an option for patients with recurrent pulmonary embolism despite therapeutic anticoagulation.

<p>True</p> Signup and view all the answers

IVC filters are recommended for the initial treatment of patients with PE.

<p>False</p> Signup and view all the answers

Long-term anticoagulation is not indicated following a pulmonary embolism.

<p>False</p> Signup and view all the answers

Patients with stable PE may be initially treated with LMWH, unfractionated heparin, or a DOAC like rivaroxaban.

<p>True</p> Signup and view all the answers

Anticoagulation therapy is not important in preventing recurrence of VTE.

<p>False</p> Signup and view all the answers

Outpatient therapy is recommended for patients with PE showing cardiopulmonary instability.

<p>False</p> Signup and view all the answers

Outpatient therapy for PE can be initiated by administering the first dose in the emergency department or urgent care center and the remaining doses at home.

<p>True</p> Signup and view all the answers

Outpatient treatment for PE has specific selection criteria that must be met before initiating therapy.

<p>False</p> Signup and view all the answers

LMWH is often prescribed for long-term therapy due to its ease of administration via subcutaneous injection.

<p>False</p> Signup and view all the answers

DOACs require regular blood test monitoring similar to warfarin.

<p>False</p> Signup and view all the answers

Warfarin interacts with several medications and has dietary restrictions.

<p>True</p> Signup and view all the answers

What is the recommended duration for long-term anticoagulation following a pulmonary embolism?

<p>6 months</p> Signup and view all the answers

Which of the following is not an initial anticoagulant option for stable pulmonary embolism?

<p>Warfarin</p> Signup and view all the answers

What is the purpose of immediate anticoagulation in patients with pulmonary embolism who are normotensive and show no signs of hypoxemia?

<p>To prevent recurrence or extension of the thrombus</p> Signup and view all the answers

Which type of anticoagulant may be selected as the initial therapy in stable pulmonary embolism cases?

<p>Factor Xa inhibitor</p> Signup and view all the answers

What is the role of an IVC filter in patients with PE receiving anticoagulants?

<p>Allowing unobstructed blood flow while blocking large emboli</p> Signup and view all the answers

What is a common characteristic of patients who are typically selected for outpatient therapy for PE?

<p>Stable baseline mental status</p> Signup and view all the answers

Which anticoagulant is not often prescribed for long-term therapy due to its ease of administration via subcutaneous injection?

<p>Low molecular weight heparin (LMWH)</p> Signup and view all the answers

Which anticoagulant requires regular blood draws for INR monitoring and has a higher bleeding risk?

<p>Warfarin</p> Signup and view all the answers

What is a key difference between DOACs and warfarin in terms of blood test monitoring?

<p>Warfarin requires regular INR monitoring</p> Signup and view all the answers

Which agent is often prescribed for outpatient administration, even though it is not empirically confirmed as the ideal choice?

<p>DOACs</p> Signup and view all the answers

What is a contraindication for thrombolytic therapy in the treatment of pulmonary embolism?

<p>Recent labor and delivery</p> Signup and view all the answers

When should anticoagulants be stopped before administering a thrombolytic agent for pulmonary embolism treatment?

<p>Prior to administration of the thrombolytic agent</p> Signup and view all the answers

What is a potential option for patients with recurrent pulmonary embolism despite therapeutic anticoagulation?

<p>IVC filter insertion</p> Signup and view all the answers

What is recommended regarding invasive procedures during thrombolytic therapy for pulmonary embolism?

<p>Avoid all invasive procedures</p> Signup and view all the answers

When is maintenance anticoagulation therapy initiated in the management of pulmonary embolism following thrombolytic infusion?

<p>After completion of the thrombolytic infusion</p> Signup and view all the answers

What is the primary goal of medical management for a patient diagnosed with a hemodynamically unstable pulmonary embolism?

<p>Stabilize the cardiopulmonary system</p> Signup and view all the answers

Which factor is NOT a consideration when selecting patients for outpatient therapy for pulmonary embolism?

<p>Need for opioids for pain control</p> Signup and view all the answers

Which medication is commonly used to treat an unstable pulmonary embolism by quickly dissolving thrombi or emboli?

<p>t-PA</p> Signup and view all the answers

What is a key advantage of direct oral anticoagulants (DOACs) over warfarin in the treatment of pulmonary embolism?

<p>No need for INR monitoring</p> Signup and view all the answers

In patients with hemodynamically unstable pulmonary embolism, what is the purpose of thrombolytic therapy?

<p>Restore hemodynamic functioning</p> Signup and view all the answers

Which anticoagulant is generally not prescribed for long-term therapy due to its subcutaneous injection administration?

<p>Unfractionated heparin</p> Signup and view all the answers

What is a potential complication associated with thrombolytic therapy for pulmonary embolism treatment?

<p>Significant risk of bleeding</p> Signup and view all the answers

In patients with pulmonary embolism, which medication has an available antidote in case of high INR and bleeding risk?

<p>Warfarin</p> Signup and view all the answers

Which clinical manifestation is commonly seen in patients with hemodynamically unstable pulmonary embolism?

<p>Confusion</p> Signup and view all the answers

What is a distinguishing feature of warfarin compared to direct oral anticoagulants (DOACs) in terms of interactions with other medications?

<p>Has interactions with several medications</p> Signup and view all the answers

What must be checked before starting thrombolytic therapy for pulmonary embolism?

<p>INR, aPTT, hematocrit, and platelet counts</p> Signup and view all the answers

What is a rare but potential alternative to thrombolytic therapy in pulmonary embolism?

<p>Surgical embolectomy</p> Signup and view all the answers

What is the recommended course of action for patients with recurrent pulmonary embolism despite therapeutic anticoagulation?

<p>Insertion of an inferior vena cava (IVC) filter</p> Signup and view all the answers

When is maintenance anticoagulation therapy initiated following thrombolytic infusion for pulmonary embolism?

<p>After completion of the thrombolytic infusion</p> Signup and view all the answers

For patients with contraindications to thrombolytic therapy in pulmonary embolism, what alternative treatment option might be considered?

<p>Surgical embolectomy</p> Signup and view all the answers

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