Abstract
Abstract Pulmonary embolism has a high prevalence in the elderly population. It is, however, rare for pulmonary embolism to precipitate diabetic ketoacidosis in a geriatric patient. Massive pulmonary embolism, complicated by diabetic ketoacidosis, poses a unique resuscitation challenge. The risk of systemic thrombolysis must be weighed against cardiovascular collapse, worsening metabolic acidosis, and impaired respiratory compensation. We report on a case of a geriatric patient who received systemic thrombolysis after presenting with a massive pulmonary embolism complicated by diabetic ketoacidosis.
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