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Suggest Treatment For Blood Clots In Right Lung While On Clexane
Question: good day
my mother was admitted to hospital a ct scan was done they found bloodclots on her right lung clexane was given for 3 days she could came home yesterday and given medication for 6 month but she is on the oxecyne now , will she get better and for how long will she have to use the oxengen and for how long will it stay sore.......thank you
my mother was admitted to hospital a ct scan was done they found bloodclots on her right lung clexane was given for 3 days she could came home yesterday and given medication for 6 month but she is on the oxecyne now , will she get better and for how long will she have to use the oxengen and for how long will it stay sore.......thank you
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello XXXX!
Welcome and thank you for asking on HCM!
Regarding your concern, I would like to explain that pulmonary embolism represents a dangerous health condition, and not rarely it appears as a life-threatening situation.
According to the severity of:
- pulmonary vascular bed obstruction (is it a minor or massive embolism),
- acute right ventricle dysfunction imposed by sudden pressure overload, leading to potential hypotension and shock,
- and presence of co-morbidities
a prognostic assessment of at least 30 days may be concluded.
If your mother doesn't represent hypotensive condition/shock (as doctors have decided to send her home, it doesn't to be such case), and other unfavorable parameters incorporated in PESI score or sPESI (like presence of cancer, CHF, chronic pulmonary disease, pulse rate>/=110 bpm, respiratory rate>30/min, satO2<90%, altered mental status); so she represents a PESI score I-II or sPESI=0, then she is considered at low risk for early mortality.
But, if she represents a PESI class III-V, has significant RV dysfunction, and increased laboratory cardiac bio-markers (like troponin, etc.), then she is considered at intermediate risk (intermediate-low or intermediate-high, depending on the presence of bio-markers), then 30-day mortality day may be up to around 25%.
She will need to continue strict oral anticoagulation, and be under close medical follow up.
As your mother is dependent on oxygen breathing to relieve her dyspnea, she probably has satO2<90%, and if she represents increased heart and respiratory rate (as I mentioned above, together with other unfavorable parameters), she may most likely classified as a higher PESI class (greater than 2), so she may be at intermediate risk for life.
You need to discuss with her attending doctor about the above mentioned issues (PESI parameters, possible RV dysfunction, lab myocardial markers, hemodynamic stability), to underline her early (30-day) risk for life; so to decide the right ongoing management strategy.
I am afraid that even oxygen continuation will depend on such conclusions.
Hope to have been helpful to you.
Feel free to ask me whenever you need. Greetings! Dr.Iliri
I would explain as follows:
Detailed Answer:
Hello XXXX!
Welcome and thank you for asking on HCM!
Regarding your concern, I would like to explain that pulmonary embolism represents a dangerous health condition, and not rarely it appears as a life-threatening situation.
According to the severity of:
- pulmonary vascular bed obstruction (is it a minor or massive embolism),
- acute right ventricle dysfunction imposed by sudden pressure overload, leading to potential hypotension and shock,
- and presence of co-morbidities
a prognostic assessment of at least 30 days may be concluded.
If your mother doesn't represent hypotensive condition/shock (as doctors have decided to send her home, it doesn't to be such case), and other unfavorable parameters incorporated in PESI score or sPESI (like presence of cancer, CHF, chronic pulmonary disease, pulse rate>/=110 bpm, respiratory rate>30/min, satO2<90%, altered mental status); so she represents a PESI score I-II or sPESI=0, then she is considered at low risk for early mortality.
But, if she represents a PESI class III-V, has significant RV dysfunction, and increased laboratory cardiac bio-markers (like troponin, etc.), then she is considered at intermediate risk (intermediate-low or intermediate-high, depending on the presence of bio-markers), then 30-day mortality day may be up to around 25%.
She will need to continue strict oral anticoagulation, and be under close medical follow up.
As your mother is dependent on oxygen breathing to relieve her dyspnea, she probably has satO2<90%, and if she represents increased heart and respiratory rate (as I mentioned above, together with other unfavorable parameters), she may most likely classified as a higher PESI class (greater than 2), so she may be at intermediate risk for life.
You need to discuss with her attending doctor about the above mentioned issues (PESI parameters, possible RV dysfunction, lab myocardial markers, hemodynamic stability), to underline her early (30-day) risk for life; so to decide the right ongoing management strategy.
I am afraid that even oxygen continuation will depend on such conclusions.
Hope to have been helpful to you.
Feel free to ask me whenever you need. Greetings! Dr.Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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