Pulmonary Embolism Module 8 F22 PDF
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Uploaded by BoundlessUtopia7018
Centennial College
2022
NUPD/NUPH701
York, Nancy; PhD, RN; Kane, Christy; PhD, RRT-NPS; Smith, Carol; PhD, RN; Minton, Lori; MSN, RN
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Summary
This presentation covers the topic of Pulmonary Embolism, specifically focusing on the care of patients with this condition. It details risk factors, management strategies, and expected outcomes for patients with acute PE, sub-massive PE and massive PE.
Full Transcript
Pulmonary Embolism Week 8 NUPD/NUPH701 Defined as an obstruction in the pulmonary vasculature caused by air, fat, tumor, or a thrombus Care of the (most common cause). Acute PE: serious, life-threatening patient Nurse role: Identify at-ris...
Pulmonary Embolism Week 8 NUPD/NUPH701 Defined as an obstruction in the pulmonary vasculature caused by air, fat, tumor, or a thrombus Care of the (most common cause). Acute PE: serious, life-threatening patient Nurse role: Identify at-risk patients, rapidly treat those with signs & symptoms of acute PE (York et al, 2015) Risk Factors, Virchow’s Triad: venous stasis, endothelial injury, hypercoagulability Care of the Patient With an Acute Pulmonary Embolism. York, Nancy; PhD, RN; Kane, Christy; PhD, RRT-NPS; Smith, Carol; PhD, RN; Minton, Lori; MSN, RN Dimensions of Critical Care Nursing. 34(1):3-9, January/February 2015. DOI: 10.1097/DCC.0000000000000082 Acute PE: Sub massive PE: Hemodynamically stable Without systemic hypotension (SBP>90mmHg) but with either RV dysfunction (identified on ECHO or CT) or Pulmonary necrosis. Cardiac biomarkers (troponin, Betanatriuretic peptide – Embolism detect MI & aid in diagnosis of submassive PE). Inpatient mortality 8.1% (pts stable), 25% (pts in cardiogenic shock). Massive PE: Unstable PE Sustained hypotension (SBP
