Dear Nurses

Sunday, June 04, 2006

ADDRESSING PULMONARY EMBOLISM AND VQ SCAN

Updated 10/25

A pulmonary embolus may start in a vein in the calf.
When a blood clot forms in a vein in the calf and
travels to the lung, pulmonary embolism results. 
The consequences can be grave. 

New information and links have been added below.




Scenario: Tom is anxious and short of breath. He has
been confined to bed for a few days. His complaints
may be suggestive of pulmonary embolism.

Pulmonary embolism is caused by a blood clot in the
leg, breaking free and migrating to the lungs. The patient 
on prolonged bedrest is at risk. The problem should be
reflected in the Care plan. See below.

Anxiety, shortness of breath, tachycardia
chest pain and hemoptysis ( coughing up
blood ) are all warning signs.

The doctor may order a VQ scan to confirm
the diagnosis. A VQ scan is a diagnostic test
that can determine how well the lungs are being
ventilated ( ventilation) and how well the lungs
are being supplied with blood ( perfusion).

Anticoagulation therapy is used in the treatment
of pulmonary embolism.



Learn more about: Care planning

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