The primary nursing concern for pulmonary embolism (PE) is respiratory failure and cardiovascular collapse due to obstruction of pulmonary arteries. PE signs include: sudden dyspnea, pleuritic chest pain, cough, hemoptysis, tachycardia, and hypoxia. Massive PE can cause syncope, hypotension, and cardiac arrest. Nursing interventions: administer oxygen to maintain SpO2 >90%; monitor vital signs frequently; prepare for anticoagulation (heparin, enoxaparin); assess for bleeding risk; and prepare for possible thrombolysis or embolectomy in massive PE. Prevention includes: early ambulation, compression devices, anticoagulant prophylaxis for high-risk patients. Nurses monitor for complications: right heart failure, pulmonary infarction, recurrent PE. Patient education: signs of recurrence, importance of anticoagulant adherence, avoidance of trauma. Documentation includes respiratory status, oxygen requirements, and response to treatment. Rapid recognition and treatment reduce mortality.

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Zambia

• loveness Phiri – 1084 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies