A 75 year old male patient is 3 days postop colon resection. Pain issues have been significant & activity really has to be pushed. He does not like to cough and EZ PAP treatments were initiated. He has developed pallor and restlessness. Now he is not maintaining his SaO2 and you are increasing his oxygen. He tells you that "something is wrong and he just can't put his finger on it." Anxiety level is high and his wife says, "He's never like this! What's wrong with him? You better call the doctor!!"
Vital Signs
BP = 144/56
HR = 135
RR = 28
SAO2 = 92% with 12 liter concentrator
Pulmonary Embolism
• Actions & Interventions
• Call MD
• Prepare for CTA
• Anticoagulants
• Bedrest
• O2
• Supportive care, as indicated
• Cardiac Output
• optimize
• Hemoglobin
• Check lab values
• Give blood as needed
• Oxygenation
• SaO2
• ABG
• Postop atelectasis
• pneumonia
• Workload
• Shivering
• Fever
• Activity
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Date last modified: January 7, 2013.
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