Acute Pulmonary Edema/scape

Question 1

What is SCAPE?

Answer 1

Sympathetic crashing acute pulmonary edema (SCAPE) is the extreme end of the spectrum of acute pulmonary edema.

Question 2

Meds for acute pulmonary edema/scape?

Answer 2

Nitroglycerin
NIPPV
- consider ACEI or LASIX IV

Question 3

Nitroglycerine dose (SCAPE)

Answer 3

0.4mg SL q 5 min
Or
IV 50mcg up to 400mcg/min
- many advocate for higher starting dose

Question 4

What is NIPPV?

Answer 4

Non-invasive positive pressure ventilation (NIPPV) is a method of augmenting NCPAP by delivering ventilator breaths via the nasal prongs.

Question 5

NIPPV “dose” for SCAPE?

Answer 5

Start at:
- 100% FiO2
- Peep 5-15 H20

Consider ACEI or LASIX IV