Venous Emboli Risk Factors Assessment ABG
Coagulation D-Dimer Pulmonary Angiography
Heparin Warfarin Reversal Oxygen Therapy
Nursing Interventions Bleeding Precautions
Anxiety Management Prevention Ambulation
Compression Exercises Home Care Client
Education Complications Exam Questions
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What are sources of emboli in the venous system? (7)
- Fat
- Amniotic fluid and fetal debris
- Foreign objects (broken IV catheter)
- Air
- Injected particles
- Infected clots
- Tumor Cells
What is a pulmonary embolism (PE)?
The obstruction of blood flow in part of the pulmonary vascular system by an embolus
What is a thromboembolism?
Develops in the venous system or right side of the heart - most frequent causes of PE.
What does the impact of a PE depend on? (3)
- Extent of obstruction
- Size of embolus
- Secondary effects of obstruction
What is dead space?
Area of the lungs that are ventilated but not perfused
, What happens when alveolar surfactant decreased?
Increases risk for atelectasis (alveolar collapse)
What are risk factors for PE? (7)
- Prolonged immobilization
- Central venous catheters
- Surgery
- Obesity
- Advancing age
- Conditions that increase blood clotting
- History of thromboembolism
What are health promotion & maintenance for PE? (4)
- Smoking cessation
- Weight reduction
- Increased physical activity
- Refrain from massaging/compressing leg muscles
How can patients prevent PE while traveling/sitting for long periods of time? (2)
- Get up frequently
- Drink plenty of fluids
What is assessment data for a PE? (12)
- Apprehension
- Restlessness
- Feeling of impending doom
- Sharp/Stabbing chest pain
- Tachycardia
- Distended neck veins
- Dyspnea
- Tachypnea
- Hypotension
- S3/S4 heart sounds
- Crackles
- Low fever
What ABG complication does PE cause?
Respiratory alkalosis (Tachypena & hyperventilation)