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Introduktionsuddannelsen til Lungemedicinsk sygepleje

Introduktionsuddannelsen til Lungemedicinsk sygepleje. Lungeemboli 24.November 2010 Nanna Eriksen Afdelingslæge Lungemedicinsk Afdeling Bispebjerg hospital. Symptomer Brystsmerter 88 % Pleuritis 74 % Dyspnø 84 % Hoste 53 % Hæmoptyse 30 % Syncope 13 %. Fund Takypnø 92 %

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Introduktionsuddannelsen til Lungemedicinsk sygepleje

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  1. Introduktionsuddannelsen til Lungemedicinsk sygepleje Lungeemboli 24.November 2010 Nanna Eriksen Afdelingslæge Lungemedicinsk Afdeling Bispebjerg hospital

  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 tal Røntgen thorax A-punktur EKG CT-angiografi Scintigrafi UL UE EKKO Angiografi MR LE Diagnose

  5. LE behandling • Lav molekylært heparin • AK • Trombolyse • Pulmonal embolektomi • Vena cava filter

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