Cardiology 4 - Acute Pulmonary Oedema / LVF Flashcards
triggers of acute pulmonary oedema
given too much fluid
sepsis
MI
arrythmia
on examination acute pulmonary oedema
short of breath
look v ill
frothy cough
high RR reduced sats tachycardic 3rd heart sound bibasal wet crackles
hypotension if severe shock
what should you always consider in acute pulmonary oedema
the trigger
what should you always consider when called to a desaturating older patient
too much fluid = oedema
give stat furosemide IV
work up for pulmonary oedema
history exam ECG ABG Chest x ray BNP, troponin bloods, CRP echo
other triggers of raised BNP
tachycardia sepsis pulmonary embolus renal impairment COPD
normal ejection fraction
over 50%
chest x ray findings pulmonary oedema
cardiomegaly
upper lobe diversion
Kerley B lines
bilateral pleural effusions
management acute LVF / p oedema
pour away their IV fluids
sit up!!
oxygen 15L high flow
diuretic - furosemide 40mg stat
monitor fluid balance
monitoring for pulmonary oedema patients, acute or otherwise
strict input / output chart
weights daily
U+Es daily
if in cardiogenic shock with low BP + acute LVF, consider what 3 things?
IV opidates vasodilate
CPAP
ITU for inotropes
