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Adults II - Respiratory
Pulmonary Embolism
11
Medical
Not Applicable
06/20/2008

Additional Medical Flashcards

 


 

Cards

Term
What is pulm. embolism?
Definition
Pulmonary embolism is an obstruction of a blood vessel in the lungs, usually due to a blood clot, which blocks a coronary artery.
Term

Clinical manifestations of PE

Definition

dyspnea

substernal chest pain

hemoptysis

chest palpitations

pleuritic chest pain

cough

apprehension

diaphoresis

Term

Definative test for PE

Definition
V/Q lung scan
Term
Most accurate test for PE
Definition
pulm. angiography
Term
#1 nursing Dx for PE
Definition
impaired gas exchange
Term

How is heparin admin?

Definition

Bolus 80 units/kg

then

gtts at 18u/kg/hr

Term
How is lovenox admin?
Definition
once daily, sub-q, in abd
Term

What lab do you monitor while on lovenox?

Definition
platelets
Term

Who do you NOT give lovenox to?

 

Why?

Definition

Renal pts.

 

Lovenox is metabolized in the liver and excreted in the kidneys

Term

Acute PE gas exchange clinical manifestations

Definition

hypoxemia

increase in arterial o2 tension gradient

increase in total dead space

V/Q mismatch

shunting

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