Congestive heart failure/Pulmonary Edema

Question 1

what are the differential impressions?

Answer 1

1. congestive heart failure
2. pulmonary edema
3. right heart failure
4. left heart failure
5. non cardiac pulmonary edema ( ex, drowning)

Question 2

Basic life support # 1

Answer 2

universal care guideline

Question 3

Basic life support # 2

Answer 3

Patient safety guideline

Question 4

Basic life support # 3

Answer 4

Cpap 5-15 peep

Question 5

Basic life support # 4

Answer 5

Nitroglycerin 1.2 mg (3x .04 mg) SL. may repeat every 5 mins as long as symptoms persist without evidence of hypoperfusion

• Do not give if there are contraindications

Question 6

Advanced life support actions # 1

Answer 6

continuous nitrate therapy

Question 7

Advanced life support actions # 2

Answer 7

12 lead ecg

look for stemi

Question 8

Advanced life support actions # 3

Answer 8

for right sided ventricular infract consider fluids if indicated for hypotension/ hypoperfusion

Question 9

Advanced life support actions # 4

Answer 9

Epi .1-.5 mcg/kg/min iv/io infusion as needed or indicated

For rvi and hypotension / hypoperfused