What are typical signs of a postoperative pulmonary embolism and the immediate actions?

• A. Fever, productive cough, wheezing; start antibiotics and bronchodilators.
• B. Abdominal pain and vomiting; start antiemetics and observe.
• C. Sudden dyspnea, chest pain, tachycardia, hypoxia; call for help, give oxygen, maintain airway, and initiate diagnostics and anticoagulation per orders.
• D. Headache and dizziness; monitor vitals.

Answer: (C)

Recognizing sudden breathing trouble with chest pain after surgery points you toward a pulmonary embolism, where a clot travels to the lungs and blocks blood flow, causing a rapid drop in oxygen exchange. The signs—new or sudden shortness of breath, chest discomfort, fast heart rate, and low oxygen levels—signal an urgent problem that requires immediate, coordinated action.

Act quickly by getting the help of the care team right away, ensure the airway and breathing are supported, and provide supplemental oxygen to improve oxygenation. Simultaneously start the diagnostic workup to confirm the PE and begin treatment as soon as it’s safe and within orders. Anticoagulation is typically started promptly to prevent the clot from growing, but plans must consider recent surgery and bleeding risk; follow the orders and adjust as needed. The overarching goal is to stabilize the patient, confirm the diagnosis, and initiate therapy to prevent further clotting while monitoring for any changes in status.