Pulmonary Embolism – Pulmonary refers to lungs and an embolus stands for a blood clot.
Pulmonary embolism is a critical life-threatening condition that requires a prompt diagnosis and treatment to reduces the risk of fatality.
PE is a disorder when a blood clot is carried in circulation to lodge in the pulmonary artery that blocks and stops blood flow and oxygen levels in the lung tissues.
Probable Causes of PE.
Precipitating factors
- A blood clot of the veins of the calves or pelvis – when your legs lie flat for long periods of time, the flow of blood through your veins slows down and blood can pool in your legs.
- Blood pooling in a certain part of your body after long periods of inactivity, like after surgery, bed rest or a long train, flight or plane ride.
- Great straining during passing stools
- Straining to get out of bed or wheelchair
- Hormonal-based contraception such as birth control pills (oestrogen supplements!), patches or rings or hormone replacement therapy.
- Have a family history of blood clots.
- Heavy smoker – tobacco increases the risk of blood clots.
- Have diabetes.
- Are older than 60.
- Being overweight (BMI greater than 25)
- Pregnant or have given birth in the previous six weeks.
- Due to central venous catheter through arm or leg.
- Paroxysmal cough
- Asphyxia – suffocation
- Acute on chronic bronchitis
- Severe asthma
- Elevated clotting factors can occur with some types of cancer – especially brain, ovary, pancreas, colon, stomach, lung and kidney and cancers that have spread, malignancy.
- Miliary carcinomatosis of the lung
- Lymphangitic carcinomatosis – mostly from breast, lung, GI, ovarian and cervical cancers
- Chemotherapy treatment
- Injury to a vein, like varicose veins or from a fracture or surgery – especially in your pelvis, hip, knee or leg.
Cardiovascular condition like:
- Congestive heart failure
- Myocardial infarction (heart attack)
- Mitral stenosis – abnormal narrowing of the mitral valve of the heart.
- Infective endocarditis – inflammation of the lining of the heart cavity and the valves.
- Isolated myocarditis – inflammation of the heart muscle.
- Atrial fibrillation
Common SYMPTOMS of Pulmonary Embolism.
- Dyspnoea – Sudden onset of difficult breathing
- Sudden shortness of breath — being active or at rest.
- Rapid heartbeat (pulse) or fast breathing.
- Unexplained sharp pain in your chest, arm, back, shoulder, neck or jaw – get worse when taking a breath.
- Circulatory collapse due to sudden reduction in cerebral and coronary blood flow
- Cyanosis – Pale, clammy or bluish skin.
- Excessive sweating.
- Anxious, lightheaded, dizziness.
- Syncope – passing out as if your heart rate or blood pressure drops suddenly.
- A cough that may include bloody or blood-streaked mucus
- Fever
- Leg pain or swelling, or both, usually in the back of the lower leg
Further complication of pulmonary embolism may include:
- Permanent damage to lungs – infarction – lung tissue death.
- Put strain on your heart, causing heart failure, Pulmonary hypertension.
SELF-CARE – DO’S AND DONT’S
- Elevation of legs
- Wear long elastic stockings
- Leg exercises in the form of pressing the feet against the foot of the bed several times a day
- Avoid straining while defecation or for getting out of the bed or wheel chair.
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