UW pulonology Q ; Pulmonary embolism - getup

[ArchivalUser]

ok thx
no i didn't mean that if i have to do blood gases there should be an EKG
I just wandered why there is no an EKG in the whole question or the options....but anyway it is just
a question!!!thanks alot again

regards

[ArchivalUser]

ok now i read the question again and carefully yes it is D
she is in her 60s and has this hip surgery and after few days she developed s&s of embolism so the first thing to come in mind in pulmonary embolism..she has low O2 saturation and high rr
and this apprehension...etc if i was the intern there i will think in embolism or MI but MI there is no classical chest pain.so to cut it in short vent/perf scan will solve the problem!!

[ArchivalUser]

The patient needs INTUBATION!
B.

[ArchivalUser]

oh i see,zkadhem.
in UW there is a question in a similar pattern but the answer for that was ABG and CXR.

yes, it is still starange, PE happens usually after 3 to 7 days after surgery so in this question even though she had risks for PE but we can't rule out Cardiologic problem.(cause it could be silent.)

[ArchivalUser]

i thnk it should be ABG...as they ask for the next step and not the best step
intubation is not the answer as pt can have more oxygen to get the sats up...