Nursing Case Study Essay Example | Topics and Well Written Essays - 2500 words

Nursing Case Study - Essay ExampleProlonged immobilization is one of the principal(prenominal) causes for DVT (Poelkens, et.al., p. 111). In this case, the patients decompression surgery could have contributed to the formation of the thrombus, and such thrombus later traveled up his dressing table cavity, manifesting as pneumonic embolism. Initi totallyy, a thrombus which separates from its original site then travels through the circulative system then on to the inferior venacava (Smulders, p. 23). The right ventricle then pushes the thrombus to the pneumonic arteries where the thrombus eventually lodges. Since the pulmonary arteries branch out to smaller blood vessels, the thrombus will likely lodge itself there (Smulders, p. 23). Multiple thrombi may be seen in the pulmonary area and they may be big or microscopic in size the bigger ones may totally or partially block the major branches of the pulmonary artery. such thrombus cuts the blood flux in the pulmonary arteries a nd this can cause increased resistance to blood flow in the pulmonary blood vessels. In instances of 50-60% decreased perfusion, pulmonary hypertension, right ventricle strain, and cardiac philia failure may occur (McGill University). Pulmonary reflexes also cause the release of humoral substances which then postulate to the constriction of pulmonary blood vessels, thereby increasing vascular resistance. The pulmonary embolism, along with the patients lumbar decompression is causing the manifestation of his other symptoms including tachypnoea, pleuritic chest pain, tachycardia, dyspnoea, and fever. Assessment The patients pulmonary embolism was diagnosed however it is still important to note the clinical presentation of this condition in the patient. Since the patient is at a high risk for having PE, it is crucial to note the manifestations of this incident. Some common symptoms include dyspnoea, pleuritic chest pain, tachypnoea, and tachycardia (Fedullo and Tapson, p. 1247). Howe ver, these symptoms cannot sufficiently establish a finding of PE. These symptoms are all apparent in this patient. These may all indeed point to his pulmonary embolism, however, some of these symptoms may be due to his lumbar decompression surgery. other(a) diagnostic renders may be used in order to detect pulmonary embolism. The first test is the D-dimer test which evaluates