Cardiovascular Pulmonary Edema

Front 1

Pulmonary Edema

Back 1

Fluid in the lungs, #1 cause CHF. Increased pressure in pulmonary vascular bed= fluid into lungs.

Front 2

Causes of Pulmonary Edema

Back 2

CHF, Chronic heart disease.
Toxins, drug overdose, renal disease, pulmonary disease, near drowing, IV fluid therapy

Front 3

Patho of Pulmonary Edema

Back 3

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.

Front 4

Stage I Initial (Interstitial)

Back 4

Lymph system tries to help, ABG's are normal, may have decreased CO2.
SOB on exertion, nocturnal dyspnea, increased resp rate, cough, restlesness, anxious

Front 5

Stage II Advanced (Alveolar)

Back 5

Noticeable SOB, crackles, adventicious lung sounds, use of accessory muscles, blood tinged sputum, cyanosis diaphoresis, arrythmias, decreased BP, confusion

Front 6

Stage III Acute (Bronchial)

Back 6

Wheezing, Metabolic acidosis, decreased consciousness, diminished breath sounds, shock

Front 7

Medical Management

Back 7

O2 (monitor sats), Meds (diuretics, digitalis, bronchodilators), fluid restriction, low sodium diet, positioning

Front 8

Acute Stages requires intensive care

Back 8

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.