Question

Mr. Oliver, a 74-year-old male, is 72 hours post-emergency surgery for a hip fracture.

A.     What are Mr. Oliver’s risks factors for PE development?

While the family is visiting, Mr. Oliver begins experiencing sudden respiratory difficulties. The family calls the nurse immediately who notes distended neck veins, cyanosis, and BP 80/48. Mr Oliver states “I am going to pass out!”

B.    What should the nurse do first?

Answer 1

A. The major risk factors of Pulmonary Embolism development in Mr. Oliver includes;

-- Age over 60 years.

-- Venous Thrombosis (VTE), mainly resulting from immobility, fracture in the hip mainly associated with venous stasis.

-- Major surgery.

B. --The nurse first place the patient in high-fowler position, and then administer oxygen.

-- Auscultate breath sounds, monitor oxygen saturation and electrocardiogram(ECG).

-- Monitor for signs and symptoms of right heart failure.

-- Administer thrombolytics and anticoagulants .

-- Monitor for bleeding.

-- Administer analgesics to reduce pain and decrease anxiety.

-- Maintain a calm environment.