Consultations
Payne Stark
Pulmonology / intensive care consultation
Sub-massive pulmonary embolism, with right ventricular strain and respiratory failure. Anticoagulation indicated: administer subcutaneous Enoxaparin BD. Ongoing monitoring and full review every 2 hours. Consider ICU admission.
Following resolution, follow up to discuss smoking cessation, alcohol reduction, alternative contraception options, increase in physical exercise.
Other consultations
No other consultations indicated.