The treatment of choice in a patient with Massive Pulmonary Embolism in Shock is-
Thrombolytic Therapy
Low Molecular Weight Heparin
Aggressive fluid resuscitation
Diuretic Therapy
Ans. is 'a' i.e., Thrombolytic Therapy Treatment of patients with pulmonary embolism based on risk stratification Patient with Dulmonary embolism | | | Low risk (Small PE) o Normotension Plus o Normal right ventricular function Intermediate risk (Submassive PE) o Normotension Plus o Right ventrucular dysfunction (RV hvpokinesia on echocardiogram) High risk (Massive PE) o Hypotension Plus o R V dysfunction | | | o Treatment of choice is anticoagulation o Treatment is controversial o Treatment of choice is Thrombolysis (or Embolectomy)
Pulmonary Embolism