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)
Why is morphine given for pulmonary edema?
for vasodilation to decrease preload and afterload
Nesiritide is an VI infusion given short term not more than 48 hours to do what?
Vasodilate veins and arteries (has diuretic effect)
How should a patient with pulmonary edema be positioned? why?
- Upright with legs down
- improves CO by promoting pooling of blood inlayer extremities
How to prevent pulmonary edema?
- Check lung sounds frequently
- avoid FVE
