A patient suddenly collapses with pleuritic chest pain, hypoxia, tachycardia and a raised jugular venous pressure. There is a history of recent

Question

A patient suddenly collapses with pleuritic chest pain, hypoxia, tachycardia and a raised jugular venous pressure. There is a history of recent surgery, the blood pressure is borderline and the patient is not in cardiac arrest.

Accepted Answer

Give oxygen, support the circulation and pre-alert for urgent assessment of suspected massive pulmonary embolism.

Answer

Give a large crystalloid fluid bolus in order to push the systolic pressure above 140 mmHg and support cardiac output.

Answer

Give nebulised bronchodilators and discharge the patient.

Answer

Reassure the patient because the examination is non-specific.

Answer

Lay the patient flat and give glyceryl trinitrate.

Pulmonary embolism — DIPIMC MCQ

A patient suddenly collapses with pleuritic chest pain, hypoxia, tachycardia and a raised jugular venous pressure. There is a history of recent surgery, the blood pressure is borderline and the patient is not in cardiac arrest.