STUDENT NAME
DISORDER/DISEASE PROCESS Pulmonary REVIEW MODULE CHAPTER
Embolism
Alterations in Health Pathophysiology Related to Health Promotion and
(Diagnosis) Client Problem Disease Prevention
Occurs when deep venous thrombi -provide medications on time,
Pulmonary Embolism detach and embolize to pumonary monitor for signs of distress, and
circulation, occludes, and impairs safety precautions.
gas exchange and circulation
ASSESSMENT
SAFETY
CONSIDERATIONS
Risk Factors Expected Findings
-impaired gas
inactive or immobile for long periods of time
inherited conditions
-dyspnea exchange
overweight I obese -chest pakn -risk for bleeding
smoking cigarettes -tachycardia -innefective
having di tease such as stroke, chronic heart disease,
high blood pressure.
-tachypnea breathing pattern
Being above age 60 -decreased skin
integrity
-fall risk
Laboratory Tests Diagnostic Procedures
-blood test (D-dimer, CK-MB, troponin, -chest xray
etc.) -ultrasound
-cbc -ct pulmonary angiography
-inr -ventilation-perfusion scan
-aptt -pulmonary angiogram
-basic metabolic panel -MRI
-prothrombin time
PATIENT-CENTERED CARE
Complications
Nursing Care Medications Client Education -sudden cardiac death
-encourage ambulation
-report s/s to -obstructive shock
and passive leg Anticoagulat prevent -artrial or ventricular
exercises to prevent Meds recurrance arrythmias
venous stasis -Rivaroxaban -medication adherance -secondary pulmonary
-monitor INR or PTT -Heparin and management plan arterial hypertension
-manage pain -Warfarin -keep up with follow up -severe hypoxemia
-relieve anxiety -enoxaparin appointments and regular tests -lung infarction
-paradoxical embolism
Thrombolytics
Therapeutic -thrombophlebitis]
-Reteplase Interprofessional Care
Procedures -Alteplase
-using anticoagulants -OT
Xa Inhibitors -PT
and thrombolytics
meds,IVC -Xarelto -cardiac pulmonary
filter,Fibronolytic -Eliquis
therapy, and proper -Pradaxa
client-nurse
relationship to
decrease stress
DISORDER/DISEASE PROCESS Pulmonary REVIEW MODULE CHAPTER
Embolism
Alterations in Health Pathophysiology Related to Health Promotion and
(Diagnosis) Client Problem Disease Prevention
Occurs when deep venous thrombi -provide medications on time,
Pulmonary Embolism detach and embolize to pumonary monitor for signs of distress, and
circulation, occludes, and impairs safety precautions.
gas exchange and circulation
ASSESSMENT
SAFETY
CONSIDERATIONS
Risk Factors Expected Findings
-impaired gas
inactive or immobile for long periods of time
inherited conditions
-dyspnea exchange
overweight I obese -chest pakn -risk for bleeding
smoking cigarettes -tachycardia -innefective
having di tease such as stroke, chronic heart disease,
high blood pressure.
-tachypnea breathing pattern
Being above age 60 -decreased skin
integrity
-fall risk
Laboratory Tests Diagnostic Procedures
-blood test (D-dimer, CK-MB, troponin, -chest xray
etc.) -ultrasound
-cbc -ct pulmonary angiography
-inr -ventilation-perfusion scan
-aptt -pulmonary angiogram
-basic metabolic panel -MRI
-prothrombin time
PATIENT-CENTERED CARE
Complications
Nursing Care Medications Client Education -sudden cardiac death
-encourage ambulation
-report s/s to -obstructive shock
and passive leg Anticoagulat prevent -artrial or ventricular
exercises to prevent Meds recurrance arrythmias
venous stasis -Rivaroxaban -medication adherance -secondary pulmonary
-monitor INR or PTT -Heparin and management plan arterial hypertension
-manage pain -Warfarin -keep up with follow up -severe hypoxemia
-relieve anxiety -enoxaparin appointments and regular tests -lung infarction
-paradoxical embolism
Thrombolytics
Therapeutic -thrombophlebitis]
-Reteplase Interprofessional Care
Procedures -Alteplase
-using anticoagulants -OT
Xa Inhibitors -PT
and thrombolytics
meds,IVC -Xarelto -cardiac pulmonary
filter,Fibronolytic -Eliquis
therapy, and proper -Pradaxa
client-nurse
relationship to
decrease stress
