Browse Guides  internal medicine  pulmonology

Pulmonary embolism

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Therapy

Give oxygen if your patient is hypoxic a

Give analgesia for pleuritic pain e.g an NSAID if no contraindications

Give anticoagulation a - see anticoagulation chapter for more details

  • Use a low-molecular weight-heparin d  and warfarin a  

Give warfarin
  • for six months for first PE with transient risk factors  a  
  • indefinitely for  
    • idiopathic cases a  
    • recurrent venous thromboembolism a  
Consider the following in life-threatening cases d
  • thrombolysis d     
  • embolectomy d
  • mechanolysis d

 

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   B   Lee
CAT Writers   CM   Ball, C Wotton, M Hayatli