My case study encompasses pulmonary embolism and a saddle pulmonary embolism. The patient I chose was a female who had just given birth with no complications during labor, but developed a pulmonary embolism that later on was confirmed to be a saddle pulmonary embolism. Not known to me before this clinical study pulmonary embolism is a leading cause of death among pregnant women in the developed world. A pulmonary embolism is a sudden blockage in a lung artery. The blockage is usually by a blood clot that travels to the lung from the vein in the leg. A clot that forms in one part of the body and travels in the bloodstream to another part of the body is called and embolus (NAT13). Pulmonary embolism is a serious condition that can damage your lung due to lack of blood flow to your lung tissue, which can lead to pulmonary hypertension. Pulmonary hypertension is increased pressures in the pulmonary artery. PE can also cause low oxygen levels in your blood and damage other organs in your body because of a lack of oxygen. If a blood clot is very large it can cause death. A pulmonary embolism can also be called a venous thromboembolism.
A PE usually begins as a clot in a deep vein of the leg, which is called deep vein thrombosis. This clot can break and travel through the bloodstream to the lungs and block the artery. Blood clots can form in the deep veins of the legs if blood flow is restricted and slows down. This can occur when you don’t move around for long periods of time. Some examples that can cause this are some types of surgery, during a long trip in a car or airplane, and if you must stay in bed for an extended period of time. Under rare circumstances an air bubble, part of tumor, or other tissue travels to lungs and causes ...
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... you should take baby aspirin (81 mg). The earlier a patient takes preventative measures the less a patient has to worry about taking other medication such Warfarin which have many adverse side effects such as excessive bleeding. Patients need to continuously check legs for any signs and symptoms of DVT.
Works Cited
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Jl, W. (2011). Pulmonary Embolism. Goldman's Cecil Medicine 24th Edition, 1-4.
Mattu, A. (2010). PE in Pregnancy: A Complicated Diagnosis. Medscape, 1-3.
Natioanl Heart, Lung, and Blood Institute. (2013). What Is Pulmonary Embolism? News and Resources, 5.
Ottawa Hospital Research Institute. (2010). Outcomes of saddle pulmonary embolism: a nested case-control study. International Society on Thrombosis and Hemostasis, 867-869.
Respiratory assessment is a significant aspect of nursing practice. According to the National Institute for Health and Care Excellence, respiratory rate is the best indicator of an ill patient and it is the first observation that will demonstrate a problem or deterioration in condition (Philip, Richardson, & Cohen, 2013). When a respiratory assessment performed effectively on a patient, it can result in upholding patient’s comfort and independence in progress of symptom management. Studies have acknowledged that in spite of the importance of the respiratory rate (RR) it is documented rarely than the other vital signs in the hospital settings (Parkes, 2011). This essay will highlight the importance of respiratory assessment and discuss why nurses
... Various treatment modalities have been described, including lobectomy or segmentectomy, systemic artery to pulmonary artery anastomosis and endovascular treatment. Differentiation between this condition from classic sequestration has important treatment implications as it may allow non-operative management (angiographic embolization) of the aberrant systemic artery.
One of the characteristics of the common disorder, and perhaps the most worrisome for the patients affected, is decreased blood flow in the atria, which is associated with and allows thrombi to form. Embolism from the atria can cause cerebrovascular accidents, which can be devastating to the affected individuals and their families.
Venous thromboembolism, otherwise known as VTE is a chronic condition, which is comprised of pulmonary embolism (PE) and deep vein thrombosis (DVT).
Hoover's right medial thigh to proximal groin. Her oxygen saturation was 97% with an oxygen support of 2 liters per minute. Multiple ecchymoses were noted around the hematoma, near Lovenox injection sites, on the right forearm, and on the surgical site of her right eyelid. She had a positive fluid balance of 485 during the first hospital day. A hemoglobin and hematocrit was ordered then and one hour after the fourth transfusion was ordered. (Norman Regional Health System 2 015-020
Tension pneumothorax is a medical emergency that is associated with a high degree of morbidity and mortality without immediate interventions. It is critical for healthcare professionals to identify and treat this condition promptly. This paper will discuss a case study of Pritesh who is developing tension pneumothorax following a haemothorax which is an accumulation of blood in the pleural space (Brown & Edwards, 2012). The paper will focus on giving a description of patient’s symptoms and complaint, discussing the step taken in assessing patient needs and the relevant managements. Finally, the author will evaluate the effectiveness of the interventions, summarise the key points as well as outline knowledge gained from the case study.
Deep Vein Thrombosis (DVT), is a blood clot that forms in a deep vein inside the body. DVT can occur when the blood thickens, because the thickening of the blood can cause a clot to form. DVT will generally occur within the lower leg or thigh, as well as other parts of the body. A clot that occurs in a deep vein can possibly break off from the original vein. When it breaks off it can travel throughout the body’s bloodstream. It is called an embolus when the clot breaks off. The clots that broke off throughout the thighs, are more likely to cause Pulmonary Embolism, rather than the other blood clots within the remainder of the body. Pulmonary Embolism is a serious condition which can be caused by blood clots. It can damage your organs, more likely to be the lungs, and cause death of an individual.
Deep vein thrombosis occurs when blood clots form in one of the deep veins in the thigh or calf. Many people with the condition do not have symptoms, but they may have leg pain, swelling or skin discoloration. It can be life threatening because it can cause a pulmonary embolism
After a thorough examination, J.P. was diagnosed with a deep vein thrombosis (DVT). “DVT develops most often in the legs but can occur also in the upper arms…” (Ignatavicius & Workman, 2013). Due t...
... as the heart, major blood vessels, and airways) toward the other side of the chest. The shift can cause the other lung to become compressed, and can affect the flow of blood returning to the heart. This situation can lead to low blood pressure, shock, and death.
Mayo Foundation for Medical Education and Research. (2014). Diseases and Conditions: Pneumothorax. Retrieved from http://www.mayoclinic.org/diseases-conditions/pneumothorax/basics/definition/con-20030025?p=1
Medical technology today has achieved remarkable feats in prolonging the lives of human beings. Respirators can support a patient's failin...
Parker, Steve. "Chronic Pulmonary Diseases." The Human Body Book. New ed. New York: DK Pub., 2007.
bypass surgery a vein is removed from the lower leg and a clogged vessel is
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture.