Introduction

Pulmonary embolism occurs when a blood clot becomes lodged or

stuck in an artery in the lung. This blocks the blood flow to the lung and
causes various issues. Pulmonary embolism usually occurs due to a
thrombus that has travelled from other parts of the body. The clot is most
likely from the deep venous system of the lower limbs. However, it can
also originate from the veins of the upper extremities, renal, pelvic, or the
heart.

When the thrombus (blood clot) travels to the lung, a large clot can
lodge itself at the bifurcation of the lobar branches or main pulmonary
artery resulting in various symptoms. It is important to realize that
pulmonary embolism is not a disease itself but is a complication due to
venous thrombosis. Normally, small clots are continuously formed and
lysed in the venous system.
While no exact epidemiological data are available, the incidence of PE is estimated to be
approximately 60 to 70 per 100,000, and that of venous thrombosis approximately 124 per
100,000 of the general population 

Personal Data

Age: 29 years old

Diagnosis: Impaired gas exchange related to ventilation perfusion imbalance as evidenced by
shortness of breath, restlessness, cyanosis and tachypnea.
ASSESS: Subjective: Complain of sudden onset of right-sided chest pain with shortness of
breath.
Objective: restlessness, slight bluish nail bed, history of asthma
T- RR, BP, PR
Planning: After 8 hours of nursing intervention, the patient will be able to:
 Achieve normal breathing pattern and have absence of symptoms of respiratory distress
 Verbalize understanding of causative factors and appropriate interventions.
 Participate in treatment regimen within level of ability/situation.
https://www.slideshare.net/MustafaAbdalla3/5-nursing-care-plans-ncp-for-cardiogenic-
shock