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8 Cards in this Set

  • Front
  • Back
Pulmonary Edema
Fluid in the lungs, #1 cause CHF. Increased pressure in pulmonary vascular bed= fluid into lungs.
Causes of Pulmonary Edema
CHF, Chronic heart disease.
Toxins, drug overdose, renal disease, pulmonary disease, near drowing, IV fluid therapy
Patho of Pulmonary Edema
Fluid moves out of the vascular space enters the interstitail lung tissue adn moves into the alveolar spaces and finally into the bronchi. This leads to decreased diffusion of oxygen, tissue hypoxia and asphyxia.
Stage I Initial (Interstitial)
Lymph system tries to help, ABG's are normal, may have decreased CO2.
SOB on exertion, nocturnal dyspnea, increased resp rate, cough, restlesness, anxious
Stage II Advanced (Alveolar)
Noticeable SOB, crackles, adventicious lung sounds, use of accessory muscles, blood tinged sputum, cyanosis diaphoresis, arrythmias, decreased BP, confusion
Stage III Acute (Bronchial)
Wheezing, Metabolic acidosis, decreased consciousness, diminished breath sounds, shock
Medical Management
O2 (monitor sats), Meds (diuretics, digitalis, bronchodilators), fluid restriction, low sodium diet, positioning
Acute Stages requires intensive care
Telemetry, hemodynamic monitoring, assessment of ABG's, hourly urine output, giving diuretics IV push, elevate HOB, or sitting leaned over is best position to ease labor of breathing.