Pulmonary Embolism & Venous Thromboembolism 폐색전증, 정맥 혈전색전증
2025. 9. 28. 14:36ㆍIn Canada/nursing study
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Blood Clot Conditions Table 혈전 질환 요약 표
| Category | Pulmonary Embolism (PE) 폐색전증 |
Venous Thromboembolism (VTE) 정맥 혈전색전증 |
| Definition 정의 |
A blood clot blocks blood flow in the lungs, often from a leg vein. 다리 정맥에서 생긴 혈전이 폐로 이동해 혈류를 막는 상태 |
A blood clot in a vein, including deep vein thrombosis (DVT) and pulmonary embolism (PE). 정맥 내 혈전으로 DVT와 PE를 포함하는 질환 |
| Symptoms 증상 |
- Sudden shortness of breath - Chest pain (worse with deep breath) - Cough (may include blood) - Rapid heartbeat 갑작스러운 숨 가쁨, 깊은 숨에 악화되는 가슴 통증, 기침(혈액 포함 가능), 빠른 심장 박동 |
- Swelling, pain, redness in leg or arm (DVT) - Shortness of breath, chest pain (PE) - Lightheadedness or fainting 다리/팔의 부종, 통증, 발적(DVT), 숨 가쁨, 가슴 통증(PE), 어지러움 또는 실신 |
| Safety Tips 안전 수칙 |
- Seek emergency care for sudden symptoms - Avoid long immobility (e.g., flights) - Use compression stockings if advised 갑작스러운 증상 시 응급 치료, 장시간 움직이지 않음 피하기, 압박 스타킹 착용 |
- Stay active after surgery or illness - Take prescribed blood thinners - Know your risk factors (e.g., cancer, clotting disorders) 수술/질병 후 활동 유지, 처방된 혈액 희석제 복용, 위험 요인 인지 |
| Tests 검사 |
- CT pulmonary angiography - D-dimer blood test - Chest X-ray 폐 CT 혈관조영술, D-이합체 혈액 검사, 흉부 엑스레이 |
- Ultrasound (for DVT) - D-dimer test - CT scan (if PE suspected) 초음파(DVT 확인), D-이합체 검사, CT 스캔(PE 의심 시) |
| Treatments 치료 |
- Anticoagulants (blood thinners) - Thrombolytics (clot-busting drugs) - Oxygen therapy or surgery (if severe) 혈액 희석제, 혈전 용해제, 산소 치료 또는 수술(심한 경우) |
- Anticoagulants - Compression therapy - Lifestyle changes to prevent recurrence 혈액 희석제, 압박 요법, 재발 방지를 위한 생활 습관 개선 |
1. Venous Thromboembolism (VTE)
What is it?
- A blood clot that starts in a vein.
- Includes:
Key Signs & Symptoms (DVT):
- Swelling in one leg
- Pain or tenderness (often calf)
- Warm, red skin over clot area
Safety Tips:
- Don’t massage/swallow swelling (can dislodge clot)
- Get up and move after long travel/bedrest
- Take blood thinners exactly as prescribed
Tests / Treatments Ordered:
- Ultrasound of leg (for DVT)
- D-dimer blood test
- CT scan (if concern for PE)
Common Treatments:
- Blood thinners (heparin, warfarin, DOACs like apixaban)
- Compression stockings
- Rarely, clot-busting drugs (thrombolytics) or clot removal
2. Pulmonary Embolism (PE)
What is it?
- A piece of a clot (usually from a leg DVT) that breaks off and lodges in the lung.
- Blocks blood flow to part of the lung → medical emergency.
Key Signs & Symptoms:
- Sudden shortness of breath
- Chest pain (worse with deep breaths)
- Rapid heart rate
- Cough (sometimes with blood)
- Lightheadedness, fainting
Safety Tips:
- Call emergency services if PE suspected (life-threatening)
- Report sudden chest pain, fainting, or severe SOB immediately
- Stay on prescribed anticoagulants to prevent recurrence
Tests / Treatments Ordered:
- CT pulmonary angiogram (gold standard)
- V/Q scan (ventilation-perfusion scan)
- D-dimer blood test
- Echocardiogram (if severe)
Common Treatments:
- Blood thinners (long-term, to prevent new clots)
- Oxygen therapy
- In severe/life-threatening cases:
In short:
- VTE = umbrella term (includes DVT + PE).
- DVT = clot in deep vein (leg/arm).
PE = clot travels to lungs = emergency.
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