1
Q
Acute v chronic
A
Immediate onset of S&S
V
Slow development of PH symptoms
2
Q
Assessment/IG
A
Predisposing factors
RAPID ONSET Dyspnea followed by chest pain, cough, DVT
Large difference in EtCO2 and PaCO2
3
Q
Diagnostic tests/ig
A
*D-Dimer
*spiral CT
CBC
ABG
troponin
ECG
CXR
V/Q scan
Pulmonary angiography/CT pulmonary angio
4
Q
Treatment/DM
A
Supplemental O2 (sats >90%)
IV fluids
Vasopressors
Anticoagulation tx
Thrombolytic tx
Embelectomy
Inferior vena cava filter
Analgesic
