Midterm Exam: NR571 / NR 571
(Latest Update 2024 / 2025) Complex Diagnosis and Management in Acute Care Practicum | Review Questions & Answers | 100% Correct | Grade A - Chamberlain
Question:
Non-VTE causes of pulmonary emboli
Answer:
-small masses of infectious material such as septic embolus -fat embolism that is released into blood stream after long bone fractures, surgery, trauma, or severe burns
- air bubbles or substances that get into bloodstream from trauma, surgery, or
- tumors caused by rapidly growing cancer cells
medical procedures
-amniotic fluid
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Question:
PE risk factors
Answer:
-use of oral contraceptives -smoking -prolonged immobilization or an activity, including a long car ride -surgery -pregnancy -malignancy -CV disease including CVA and MI -fractures -previous CVCs
Question:
potential complications of PE
Answer:
• pulmonary infarction • hypoxemia • Right-left intracardiac shunt • cor pulmonale • shock • ventricular arrhythmia
• PEA 2 / 4
• sudden cardiac arrest
Question:
symptoms of PE
Answer:
-sudden pleuritic chest pain with shortness of breath -cough -hypoxia -anxiety -lower extremity swelling -Palpitations -Dizziness -sweating -fever -Tachypnea -tachycardia -hypoxemia -cyanosis -s/s for pulmonale -obstructive shock -CV collapse
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Question:
Gold standard for diagnosis of PE
Answer:
CT pulmonary angiography
- also useful in assessing for the presence of right heart strain
Question:
VQ Scan (Ventilation/Perfusion)
Answer:
For diagnosing PE when CT scanning is not available or the contraindication exists, like contrast allergy, or AKI
Question:
Why is an echocardiogram done for patients who have PE?
Answer:
To check if there is significant RV strain and/or right ventricular failure
Question:
Why is Doppler ultrasound done for someone with PE?
Answer:
To check lower extremities for DVT
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