Pulmonary Edema Flashcards

0
Q

Pulmonary edema

A

Fluid backup in lungs
Heart unable to move volume forward
Occurs mostly at night

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1
Q

Who is at risk

A

Those receiving fast IVs
Very young and very old
Anyone with HF or renal failure

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2
Q

Symptoms

A
Sudden onset
Breathless
Restless
Severe hypoxia
Productive cough
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3
Q

Treatments

A
O2
Diuretics
Nitroglycerin 
Morphine
Positioning 
Prevention
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4
Q

O2

A

Priority

Keep saturation above 90

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5
Q

Diuretics, furosemide

A

Causes diuresis and vasodilation
Keeps blood in arms and legs
Reduces preload and after load
40mg over 1-2min

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6
Q

Bumetanide

A

IV push or continuous

Rapid fluid removal

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7
Q

Nitroglycerin

A

Vasodilation

Less pressure more blood moved

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8
Q

Morphine

A

2mg push

Vasodilation

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9
Q

Positioning

A

Upright, legs down
Improves CO2
Pooling in extremities

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10
Q

Prevention

A

When possible
Check lung sounds
Avoid excess volume

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