pulmonary edema and resp failure

Question 1

how do we classify pulmoanry edema

Answer 1

1. cardiogenic
2. non cardiogenic (exo + endo)

Question 2

cardiogenic

Answer 2

e.g LV heart failure due to retrograde flow

Question 3

exogenous non cardiogenic

Answer 3

organophosphates
chlorine

Question 4

endo

Answer 4

pneumonia
sepsis
malignanxies
ARDS
low onctoic pressure

Question 5

TX OF Pe

Answer 5

sit patient uP
oxygen
duiertics
treat underlying cause

Question 6

investigations for pulmonary edema

Answer 6

bloods , troponin, u & E

x ray
ecg
ABG- any respiratory pathology

Question 7

ARDS

Answer 7

basically a secondary infection so usually develop it in hospital

• usually bilateral edema
• caused by proinflammatory mediators
• non cardiogenic

Question 8

causes of ards

Answer 8

PNEUMONIA (most common cause)
SEPSIS
PANCREATITIS
ASPIRATION
fractures
fat embolism

Question 9

sp 02 vs pa02

Answer 9

SPo2- oxygen saturation

pao2- amount of oxygen dissolved in the blood

Question 10

examples of type 1 failure

Answer 10

anything with consolidation in alveoli regardless of what it is so pneumonia , pulmonary edema

Question 11

examaples of type 2

Answer 11

COPD
RESP depression so central causes
NMj DISORDERS LIKE mg AND gbs
KHYPHOSIS + scolosis and ankylosing spondylities (chest wall deformtiies )

Question 12

signs of hypercarbia

Answer 12

vasodilation
headache
behavioural changes
warm extremities
asterixis

Question 13

What will the arterial blood gas of a patient with type II respiratory failure show?

Answer 13

Low pO2, high pCO2, low pH (if uncompensated)