Thursday, June 25, 2009

Pine Wood Derby Car Templates

Pulmonary embolism

= partial or complete transfer of the pulmonary arteries is flooded blood clots in the peripheral venous circulation.

symptoms

  • massive dyspnea
  • Thraxschmerz
  • dizziness, RR , pulse, shock
  • agony
  • if hemoptysis

diagnosis

  • clinical examination / vital signs
  • chest x-ray
  • (ECG signs of right heart failure can be detected)
  • Laboratory: BGA (blood gas analysis)
  • echocardiography
  • possibly Angio-CT, MRI
  • pulmonary angiography
  • perfusion / Ventilationsszintigraphie

therapy

Conservative:
  • bed rest (except for 1)
  • Waist High Store
  • anticoagulation in 1 & 2
  • intensive monitoring, O 2 gift
  • if catecholamines
Systemic thrombolysis and anticoagulation in 3 and 4
Pulmonalisthrombektomie possibly at 3 and 4
4 risk groups:
[1] Hämodyn. stable without right ventricular dysfunction
[2] Hämodyn. stable with right ventricular dysfunction
[3] shock (RR syst \u0026lt;100 mmHg, pulse> 100 / min)
[4] Resuscitation duty


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