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Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

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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...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

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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...
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Pulmonary Embolism I: Introduction01:29

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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...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Kidney Transplant III: Nursing Management01:16

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
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Post-nephrectomy pulmonary thromboembolism.

Ajay Handa1, Rajesh Khanna2, Manjit Sharad Tendolkar3

  • 1Senior Consultant (Pulmonary Medicine), Sakra World Hospital, Bengaluru, India.

Medical Journal, Armed Forces India
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Summary

Pulmonary thromboembolism after nephrectomy is common in cancer patients but rare in non-cancer cases. This study details a rare case of pulmonary embolism following kidney removal for non-cancerous kidney stones.

Keywords:
NephrectomyPulmonary thromboembolismRenal calculi

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Area of Science:

  • Nephrology
  • Cardiology
  • Pulmonology

Background:

  • The link between nephrectomy and pulmonary thromboembolism (PTE) is established in malignant diseases.
  • Data on PTE incidence post-nephrectomy in non-malignant conditions is limited.

Observation:

  • This report presents the first documented case of PTE following nephrectomy in a patient with a nonfunctional kidney due to multiple renal calculi.
  • The patient underwent nephrectomy for a non-cancerous condition.

Findings:

  • Pulmonary thromboembolism can occur after nephrectomy even in non-malignant conditions.
  • The incidence of PTE following nephrectomy for benign etiologies like renal calculi is not well-characterized.

Implications:

  • This case highlights the need for vigilance regarding PTE risk in patients undergoing nephrectomy for non-malignant conditions.
  • Further research is warranted to understand the incidence and risk factors for PTE in this patient population.