PE Management

PE Management - wave in lead 1, right bundle-branch block,...

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Emergency Management For massive pulmonary embolism, goal is to stabilize cardiorespiratory status. -Oxygen is administered to relieve hypoxemia, respiratory distress, and cyanosis and to dilate pulmonary vaculature. -An infusion is started to open an I.V. route for drugs and fluids. -Vasopressors, inotropic agents such as dopamine (Intropin), and antidysrhymic agents may be indicated to support circulation if the patient is unstable. -ECG is monitored continuously for findings suggestive of right-sided heart failure, which may have a rapid onset. Changes may include sinus tachycardia, Q waves, late T-wave inversion, S
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Unformatted text preview: wave in lead 1, right bundle-branch block, right axis deviation, atrial fibrillation, and T-wave changes.-Small doses of I.V. morphine may be given to relieve anxiety, alleviate chest discomfort (which improves ventilation), and ease adaptation to mechanical ventilator, if this is necessary.-Pulmonary angiography, thoracic imaging, hemodynamic measurements, ABG analysis, and other studies are carried out. The key treatment for pulmonary embolism include oxygen therapy, anticoagulation therapy, and fibrinolytic therapy....
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