Hs and Ts Thrombosis Coronary and Pulmonary | ACLS Classes Nashville

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Thrombosis- Coronary/Pulmonary

Defined:
The formation of a blood clot inside a blood vessel obstructs the flow of blood through the circulatory system. A clot that breaks free and begins to travel around the body is known as an embolus. When a thrombus occupies more than 75% of the cross-sectional area of the lumen of an artery, blood flow to the tissue supplied is reduced enough to cause symptoms because of decreased oxygen (hypoxia) and accumulation of metabolic products like lactic acid. More than 90% obstruction can result in anoxia, the complete deprivation of oxygen, and infarction, a mode of cell death.

Examples: Myocardial Infarction, Pulmonary Embolism, DVT, Stroke

Treatment: Depends on the type of thrombosis and severity of symptoms

Trauma-
Is the trauma causing hypovolemia?
Is there an electrolyte imbalance?

Is there brain trauma causing hemorrhage?

Causing ICP?

***Assess the trauma and patient. Treatment will be patient-specific.

Toxins-
Drug Overdose? Narcan and other reversal agents if indicated
Exposure to poison or other toxin – identify toxin and treat accordingly