Pulmonary Edema Flashcards
Who is at risk for pulmonary edema?
- any person receiving iV fluids fast
- the very young and very old
- ay person with history of heart or kidney disease
In pulmonary edema fluid is backing up into the lungs why?
Heart is not able to move volume forward
Pulmonary edema usually occurs when?
at night when client goes to bed
What are s/s of pulmonary edema?
- Sudden onset
- Breathless
- Restless/anxious
- Severe hypoxia
- Productive cough (pink frothy sputum)
What is the treatment for pulmonary edema?
- oxygen
- meds
- positioning
What is the priority nursing action with pulmonary edema?
Administer high flow oxygen
With pulmonary edema what should we keep oxygen levels in the patient above?
90%
What meds are used for pulmonary edema?
- Diuretics
- Nitroglycerin
- Morphine
- Nesiritide
What two diuretics are commonly used in HF?
- Furosemide
- Bumetanide
Furosemide causes diuresis and vasodilation which traps more blood out in the arms and legs and reduced?
preload
How much furosemide is given in HF? and how?
40 mg IVP slowly over 1-2 minutes to prevent Hypotension and ototoxicity
Bumetanide be given IV push or as continuous infusion to provide what?
rapid fluid removal
How much bumetanide is given IVP? and how fast?
1-2mg over 1-2 min
What does Nitroglycerin do for pulmonary edema?
Vasodilation decreased afterload
Decreased after load from nitroglycerin = ?
Increased CO (pumping against less pressure, more blood moved forward)
