b******a
发帖数: 90 | 1 I am quite puzzled by the following question. One answer key says B, but A
seems to be better, because air embolism can be a serious complication of
subclavian venous catheterization. The onset of symptoms is sudden, and it
can explain the hypotension very well. Any idea? Thank you!
form 3-2-44. A 57-year-old hospitalized man undergoes right subclavian
venous catheterization for hyperalimentation. He is currently being treated
for a small bowel fistula. While the results of an x-ray film of the |
E*******9
发帖数: 152 | 2 However air embolism could not explain jugular venous distention.
Pericardial tamponade could explain both hypotension and jugular venous
distention.
However I'm not familiar with the procedure and wonder whether the X-ray
finding is normal... Would appreciate any comments. |
L****n
发帖数: 12932 | 3 the key here is the misplacement of catheter on the X ray. |
L****n
发帖数: 12932 | 4 air embolism could show neck vein distention as well. but one best answer
that explains everything is ventrical perforation. |
b******a
发帖数: 90 | 5 Thanks, please explain more about the x-ray.
The air embolism can explain the jugular v distention. When air is sucked
into the right atrium along inspiration, the bubble can prevent blood from
circulating back to the heart and into the pulmonary artery.
More comments keep coming. Thanks! |
