체험은 만족하셨나요?
방금 푼 그 흐름,
합격까지 이어보세요
지식 자료를 소장하고 멋진 의료인으로 성장하세요
학습 자료 둘러보기 →A patient on anticoagulation who develops new hypotension, severe dyspnea, and chest pain is manifesting obstructive shock from a massive PE. The physiological priority is rapid clot reduction to restore right ventricular function and cardiac output.
The nurse's immediate action is to prepare for systemic thrombolysis. Gather emergency equipment, ensure IV access, and anticipate administering a fibrinolytic agent as the definitive therapy for hemodynamic instability.
Do not administer morphine or other vasodilators in massive PE with shock; they can reduce preload and cause cardiovascular collapse. Supportive measures like oxygen and positioning are secondary to definitive reperfusion.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.