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Related Concept Videos

Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Embolism I: Introduction01:19

Pulmonary Embolism I: Introduction

A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:

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A Porcine Model of Acute Autologous Pulmonary Embolism
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Published on: September 6, 2024

When it may be a pulmonary embolism.

Carol M Headley1, Sheila Melander

  • 1Memphis VA Medical Center, Nephrology, Memphis, TN, USA. carol.motes.headley@gmail.com

Nephrology Nursing Journal : Journal of the American Nephrology Nurses' Association
|April 28, 2011
PubMed
Summary
This summary is machine-generated.

Shortness of breath in dialysis patients can be serious. While fluid overload is common, pulmonary embolism is a critical, potentially fatal, diagnosis that nephrology nurses must consider.

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Area of Science:

  • Nephrology
  • Pulmonology
  • Critical Care Medicine

Background:

  • Nephrology nurses frequently encounter shortness of breath in patients undergoing chronic dialysis.
  • Volume expansion is the most common initial clinical consideration for dyspnea in this population.
  • However, overlooking other causes can lead to adverse patient outcomes.

Purpose of the Study:

  • To highlight pulmonary embolism (PE) as a critical differential diagnosis for shortness of breath in patients on chronic dialysis.
  • To review the incidence, pathogenesis, evaluation, and treatment of PE in patients with chronic kidney disease (CKD).

Main Methods:

  • Literature review focusing on pulmonary embolism in the context of chronic kidney disease and dialysis.
  • Analysis of clinical presentation, diagnostic strategies, and therapeutic interventions for PE in this specific patient group.

Main Results:

  • Pulmonary embolism presents a significant diagnostic challenge in dialysis patients.
  • The incidence and risk factors for PE in CKD patients require careful consideration.
  • Timely and accurate evaluation is crucial for effective treatment.

Conclusions:

  • Shortness of breath in dialysis patients necessitates a broad differential diagnosis beyond fluid overload.
  • Pulmonary embolism is a life-threatening condition that must be actively considered and evaluated.
  • Nephrology nurses play a vital role in recognizing and managing potential PE cases.