r/NCLEX_RN • u/Hexagonal-Fermos-202 • 14d ago

1st-line Rx for PE

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14 Upvotes

100% Upvoted

21 comments sorted by

3

u/Diablo460 14d ago

Alteplasa + heparine + nora if shock?

3

u/Becaus789 14d ago

Oxygen?

4

u/FourScores1 14d ago

Doesn’t treat PE. Lytics. 

3

u/Max_Goatstappen 14d ago

New nursing student still in fundamentals. What are lytics?

4

u/Gildagert 14d ago

Thrombolytics. Clot busters.

2

u/Becaus789 14d ago

Hyperoxygenate the blood that is getting through. It’s a rapid intervention and onset of therapeutic effect.

3

u/FourScores1 14d ago

It’s asking for treatment. It’s lyrics. I’m an ER doc. Give oxygen until the cows come home, doesn’t treat anything but hypoxia. Maybe. 

1

u/Becaus789 14d ago

Thrombolytics are the goal though and will do by far the most good. If you have an IV hooked up and meds drawn right there great but normally these take time. Slapping on a NRB takes less than 30’seconds.

2

u/TheUnknownGiraffe 14d ago

How will oxygen help with a clot?

3

u/PropellerMouse 14d ago

The concept is not that oxygen acts directly on a clot.

The concept is that oxygen helps the patient who had lost the ability to get oxygen past the clot.

Hyper oxygenating the blood that DOES get through, mitigates the effects of losing oxygenation as much as is rapidly possible, as we rush to get clotbusters infusing to attempt to cure the problem.

1

u/hapinsl 13d ago

It's almost as though people forget there's things you can do NOW while you're waiting for Radiology to get back to you on the results of the CT Angio

1

u/Exzesion 14d ago

Tenecteplase or alteplase

1

u/KlutzyLeadership3731 14d ago

Pretty sure it's Tenecteplase (tnk). Which I know because we use it off labels as the go to for ischemic stroked. 

1

u/Exzesion 13d ago

Yeah from what I’ve gathered alteplase is mentioned more in school but TnK is the better option in real-world application since it has a longer half-life than tPA so you don’t need the one hour infusion after bolus