Pulmonary Edema

Question 1

Def

Answer 1

Pulmonary edema is a fluid accumulation in tissues of airspaces of the lungs .it leads to impaired gase exchange and may cause respiratory failure

Question 2

Etiology

Answer 2

Cardiac
Lvf
Systolic dysfunction -mi,myocaritis
Diastolic dysfunction-left ventricular hypertrophy
VHD-
Renal failure
Hepatic failure

Non cardiac
Pneumonia
Ards
Sepsis
Shock
Traims

Question 3

Signs and symptoms

Answer 3

Hypoxemia
Shortness of breath
Dyspnea
*Hemoptysis *
Tachycardia
Pink frothy secreations
Orthopnea
Cyanosis
Peripheral edema
Cracke wheeze ronchi

Question 4

Diagnosis

Answer 4

Physical examination
Abg
Chest xraybilateral opacity
CBc
Echocardiogram
Hemodynamic monitoring
Cardiac enzyme analysis

Question 5

Management

Answer 5

02 therapy -hypoxemia

NIV ph<7.35 Paco2>50

Ionotropic drugs
Dopamine dobtamine
Nor epinephrine

Diuretic -to treat fluid overload

Analgesic
Mechanical ventilation (ph<7.20 gcs low)