ANA - PE care

Impaired gas [blank_start]exchange[blank_end] due to PE Assess resp status regularly Place in [blank_start]Fowler’s[blank_end] to maximise lung expansion and reduce venous return to the [blank_start]right[blank_end] side of the heart Obtain doctor’s order for [blank_start]O2[blank_end] if necessary (indicated by SpO2) Monitor ABG results Maintain patient bed rest to reduce [blank_start]metabolic[blank_end] demands

Decreased cardiac output due to PE [blank_start]Auscultate[blank_end] heart sounds every [blank_start]2[blank_end] - [blank_start]4[blank_end] hours and report any [blank_start]abnormalities[blank_end] Assess skin colour and [blank_start]temperature[blank_end] Monitor neck vein [blank_start]distention[blank_end] and peripheral [blank_start]oedema[blank_end] which may indicate right sided HF Instruct pt to report [blank_start]chest pain[blank_end] or related symptoms

Patient education: Long term use of [blank_start]anticoagulant[blank_end] therapy will require pt education about how to [blank_start]administer[blank_end]/risks & benefits Tell pt to wear [blank_start]MedicAlert[blank_end] tag to indicate they are using anticoag therapy Explain [blank_start]symptoms[blank_end] of recurrent PE and tell them to report to [blank_start]emergency[blank_end] if these occur again