RRAPID PULMONARY OEDEMA

Question 1

Causes (3)

Answer 1

1. left ventricular failure
2. fluid overload
3. neurogenic

Question 2

Symptoms (8)

Answer 2

1. dyspnoea
2. orthopneoa
3. pink, frothy sputum
4. pale, sweaty, distressed
5. raised JVP
6. inspiratory crackles
7. wheeze = cardiac asthma
8. triple/gallop rhythm

Question 3

What would be seen on CXray? (4)

Answer 3

1. cardiomegaly
2. bat wings - fluffy bilateral shadowing with peripheral sparing
3. kerley b lines
4. pleural effusions

Question 4

ABCDE

Answer 4

A

1. sit the patient up

B

1. O2 15l/min non-rebreathe
2. O2 sats
3. salbutamol nebuliser 5mg

C

1. IV access
2. bloods
3. bp

Question 5

Main treatment (4)

Answer 5

1. furosemide

40-80mg IV slowly

2. GTN spray
   - 2 sprays
3. CPAP
4. Glyceryl trinate 50mg 0.9% sodium chloride IV at 2ml/hr titrating up to 20ml/hr
   - maintains BP