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Introduktionsuddannelsen til Lungemedicinsk sygepleje

Introduktionsuddannelsen til Lungemedicinsk sygepleje. Lungeemboli Torgny Wilcke Tak til Nanna Eriksen. Symptomer Brystsmerter 88 % Pleuritis 74 % Dyspnø 84 % Hoste 53 % Hæmoptyse 30 % Syncope 13 %. Fund Takypnø 92 % Krepetition 58 % Rallelyde 48 % Takykardi 44 %

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Introduktionsuddannelsen til Lungemedicinsk sygepleje

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  1. Introduktionsuddannelsen til Lungemedicinsk sygepleje Lungeemboli Torgny Wilcke Tak til Nanna Eriksen

  2. Symptomer Brystsmerter 88 % Pleuritis 74 % Dyspnø 84 % Hoste 53 % Hæmoptyse 30 % Syncope 13 % Fund Takypnø 92 % Krepetition 58 % Rallelyde 48 % Takykardi 44 % Feber 43 % Galloprytme 34 % Phlebitis 32 % Ødem 24 % LE

  3. LE • Hyppigste symptomer og fund • Uforklarlig akut dyspnø • Takypnø > 20 /min • Substernal brystkasse ubehag • 97 % har en/flere af ovenstående sympt. • > 90 % stammer fra DVT!

  4. Anamnese Symptomer Objektive fund Laboratorie – D-dimer Røntgen thorax A-punktur EKG CT-angiografi Perfusion/ventilations scintigrafi UL UE EKKO MR SPECT scanning LE Diagnose

  5. Patient under udredning af infiltrat ringer til daghospital 2 dage efter DUO og klager over åndenød Hvad gør du ?

  6. Mulige diagnoser • Ses af læge akut eller næste morgen? • Undersøgelser? • Behandling? • Udskrivelse?

  7. LE behandling • Lav molekylært heparin • AK • Trombolyse • Pulmonal embolektomi

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