Pulmonary Edema Flashcards
0
Q
Pulmonary edema
A
Fluid backup in lungs
Heart unable to move volume forward
Occurs mostly at night
1
Q
Who is at risk
A
Those receiving fast IVs
Very young and very old
Anyone with HF or renal failure
2
Q
Symptoms
A
Sudden onset Breathless Restless Severe hypoxia Productive cough
3
Q
Treatments
A
O2 Diuretics Nitroglycerin Morphine Positioning Prevention
4
Q
O2
A
Priority
Keep saturation above 90
5
Q
Diuretics, furosemide
A
Causes diuresis and vasodilation
Keeps blood in arms and legs
Reduces preload and after load
40mg over 1-2min
6
Q
Bumetanide
A
IV push or continuous
Rapid fluid removal
7
Q
Nitroglycerin
A
Vasodilation
Less pressure more blood moved
8
Q
Morphine
A
2mg push
Vasodilation
9
Q
Positioning
A
Upright, legs down
Improves CO2
Pooling in extremities
10
Q
Prevention
A
When possible
Check lung sounds
Avoid excess volume