05-23-2009, 03:48 PM
management:
How to differentiate it from Pulmonary Embolism:
How to differentiate it from Pulmonary Embolism:
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Arterial Thrombosis/Embolism - roh
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05-23-2009, 04:02 PM
How would you manage someone with Arterial Embolism?
How would you manage someone with Pulmonary Embolism?
05-23-2009, 04:04 PM
Arterial Embolism
Heparin and embolectomy Pulmonary Embolism depends!
05-23-2009, 04:06 PM
For the arterial embolism, it depends on the site but generally we will give heparin then perform embolectomy.
05-23-2009, 04:32 PM
true for PE depends...so say pt. comes in with SOB into ER and suspected PE...whats management
05-23-2009, 04:34 PM
for arterial embolism
O2, ASA Anticoagulation with Heparin or LMWH Thrombolytics....make sure no complications to thrombolytics
05-23-2009, 04:50 PM
For PE initial: ABG and CXR (the CXR is to exclude other causes of SOB not to dx PE)
ABG will show resp alkalosis Start heparin If the CXR is clear do V/Q scan if not do CT angio. For bedridden patients skip the V/Q and the CT and do a lower venous U/S. If all are negative or inconclusive do Pul angio. For unstable patient use thrombolytics or embolectomy For stable and heparin is contraindicated interrupt IVC |
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