dr_jojo
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. Three days after being hospitalized for treatment of a hip fracture sustained in a fall, a 62-year-old woman becomes acutely short of breath and coughs up a small amount of blood-tinged sputum. She appears anxious. Her blood pressure is 110/70 mm Hg, pulse is 110/min, and respirations are 24/min. Examination shows no other abnormalities. Arterial blood gas analysis on 40% oxygen by face mask shows:
pH 7.40
PCO2 38 mm Hg
PO2 70 mm Hg
Ventilation-perfusion lung scans show multiple segmental areas of mismatch on the right. Which of the following is the most appropriate next step in management?
A
) Pulmonary angiography
B
) Dopamine therapy
C
) Heparin therapy
D
) Urokinase therapy
E
) Intubation
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| NE
Forum Guru
Topics: 53
Posts: 504
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Heparin
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| 92306
Forum Senior
Topics: 14
Posts: 126
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C) Heparin therapy
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| Adam
Forum Senior
Topics: 6
Posts: 136
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I know that if there's still confusion about the diagnosis of PE after the V/Q exam, we should do the angiography to confirm..
As there are obvious mismatch & depending on the history ( fracture ....) ,, we should start treatment immediately with Heparin
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I will not say I failed 1000 times.. I will say that I discovered there are 1000 ways that can cause failure ..
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| dr_jojo
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thanx
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| Geroo
Forum Guru
Topics: 114
Posts: 799
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C
) Heparin therapy
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| dr in trouble
Forum Guru
Topics: 62
Posts: 601
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yes its Heparin theray. What is the treatment of fat embolism????????
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If u want to do something, do it today as there is no tomorrow.
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| eaguin
Forum Senior
Topics: 9
Posts: 162
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c
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