Welcome to My Life- Pulmonary Embolism.

Do you suddenly feel out of breath
More than 20 breaths per minute
chest pain but clear chest x ray
and low spO2

ABC and monitoring
O2 via non-rebreather mask
And Fluid resuscitation
Through 2 large bore IV lines

Start inotropes if BP
Continues to be low
And give opioids for pain relief

Chorus:
DVT and PE, are from virchow’s triad
Flow stasis, endothelial, damage hypercoagulability
Don’t forget to call the reg from,
cardiothoracic
To arrange for admission
Into ICU/

FBC and U/E/Cr
GXM and DIVC screen
ABG and ECG and also CXR

To be sure do a CT scan
A lung scintigraphy
Gold’s pulmonary angiography
Then bedside 2D echo

If you suspect PE
Start IV heparin
Or fraxiparine
subcutaneous

Bridge:
ECG shows sinus tachycardia
S1Q3T3 RBBB
Right axis deviation and P pulmonale
T inversion in V1-3
All this indicate right heart strain
CXR has Hampton’s hump Westermark sign

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