Pulmonary Edema

Question 1

Hallmark sx of pulmonary edema?

Answer 1

• Acute onset or worsening of dyspnea at rest.
• Pulmonary rales, rhonchi; expiratory wheezing.
• Production of pink, frothy sputum.

Question 2

In developed countries, what is the most common presentation of pulmonary edema

Answer 2

Acute or subacute deterioration of chronic heart failure

Question 3

What are the 2 types of Pulmonary Edema?

Answer 3

Cardiogenic and Non Cardiogenic

Question 4

What are cardiogenic causes of pulmonary edema?

Answer 4

-MI
-Heart failure
-Mitral valve
-Volume overload of left side of heart
- Comes from the heart

Question 5

What are non-cardiogenic causes of pulmonary edema?

Answer 5

-Reaction to iv opioid
-High altitude
-Sepsis

Question 6

How would you test for cardiogenic vs non cardiogenic causes of pulmonary edema?

Answer 6

EKG, CXR or Echo

Question 7

Most obvious physical finding of pulmonary edema?

Answer 7

Production of pink, frothy sputum

Question 8

CXR findings for pulmonary edema

Answer 8

Increased interstitial markings

Question 9

Treatment of Pulmonary Edema

Answer 9

• O2
• Furosemide 20-80mg q6-8hrs max 600mg/day
• Treat similar to chest pain
  
  • Nitrate therapy
  • Morphine 2-8mg IV q2hrs

Question 10

How should patients with pulmonary edema be positioned?

Answer 10

Sitting in a position with legs dangling over the side of the bed

Question 11

Pulmonary edema often leads to what condition?

Answer 11

Bronchospasm

Question 12

What should be once the patient’s pulmonary edema had improved?

Answer 12

Ascertain the cause of precipitating factor

Question 13

Common side effect of albuterol

Answer 13

Could become jittery