125 Acute Cardiogenic Pulonary Edema Flashcards

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1
Q

What are the INDICATIONS for the ACPE medical directive

A

Moderate to severe respiratory distress
Suspected ACPE

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2
Q

What are the Conditions for Nitroglycerin in the ACPE medical directive

A

18 years old
HR 60-159
BP normotensive

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3
Q

What are the Contraindications for Nitroglycerin in the ACPE medical directive

A

Allergy
Phosphodiasterase use within 48 hours
SBP drop by 1/3 or more

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4
Q

What is the dose Nitroglycerin in the ACPE medical directive if the BP is under 140

A

IV/ Hx: 0.3/ 0.4

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5
Q

What is the dose Nitroglycerin in the ACPE medical directive if the BP is above 140 WITHOUT IV/HX

A

0.3 / 0.4

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6
Q

What is the dose Nitroglycerin in the ACPE medical directive if the BP is above 140 WITH IV/HX

A

0.6 / 0.8

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7
Q

How MANY doses are given of Nitroglycerin in the ACPE medical directive

A

6

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8
Q

What is the interval between doses for Nitroglycerin in the ACPE medical directive

A

5 minutes

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9
Q

What is the route of administration for Nitroglycerin in the ACPE medical directive

A

SL

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10
Q

What type of medication is Nitroglycerin

A

Anti-anginal

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11
Q

How is Nitro beneficial for ACPE

A

It relaxes the vasculature, and decreases afterload for the lungs. This decreases the pressure in the lungs and fluid returns to the vasculature.

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12
Q

What causes ACPE?

A

Valvular disorders
Left-sided Heart Failure

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