Ch32 - Chapter 32 Care of Critically Ill Patients w Respiratory Problems Pulmonary Embolism a collection of particulate matter that enters venous

Ch32 - Chapter 32 Care of Critically Ill Patients w...

This preview shows page 1 - 2 out of 3 pages.

Chapter 32: Care of Critically Ill Patients w/ Respiratory Problems Pulmonary Embolism – a collection of particulate matter that enters venous circulation and lodges in the pulmonary vessels o Blood clot is most common cause Risk factors for VTE leading to PE: o Prolonged immobility, central venous catheters, surgery, obesity, advancing age, conditions that increase blood clotting, hx of thromboembolism, smoking, pregnancy, estrogen therapy (oral contraceptives), heart failure, stroke, cancer (esp lung/prostate) and trauma Fat emboli and oil emboli cause Acute Respiratory Distress Syndrome not PE Prevent PE = prevent venous stasis Prevention o Passive/active ROM for immobilized/postop extremities, Early postop ambulation, Use antiembolism/ pneumatic compression stockings/devices postop, Eval for anticoagulant therapy, Avoid tight, constricting clothing, Prevent pressure under knees, Assess periph circulation, Elevate at least 20 degrees above the heart, Reposition q2h, Ambulate as
Image of page 1
Image of page 2

You've reached the end of your free preview.

Want to read all 3 pages?

  • Winter '16
  • central venous catheters, massive PE, RV dysfunction, Low-Risk PE

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture