Pulmonary oedema

Question 1

What is pulmonary oedema?

Answer 1

Pulmonary oedema involves the accumulation of fluid in the parenchyma and air spaces of the lungs, most commonly as a result of heart failure and/or fluid overload.

Question 2

Symptoms and sign of PO?

Answer 2

Symptoms
Typical symptoms of pulmonary oedema include:

Shortness of breath
Pink frothy sputum
Signs
Typical clinical signs of pulmonary oedema include:

Tachypnoea
Decreased oxygen saturations
Raised jugular venous pressure (JVP)

Question 3

Investigations?

Answer 3

-CXR (CARDIOMEGALY, FLUID)
-ECG (MI?)
-U&E
-ECHO

Question 4

Management?

Answer 4

-monitor
-once stable: repeat CXR, oral furosemide or bumetanide.
-If on large loop doses add thiazide
-weight reduction