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Pulmonary Edema (Assessment (Restlessness, Anxiety, Tachypnea, Decrease o2…
Pulmonary Edema
Assessment
Restlessness
Anxiety
Tachypnea
Decrease o2
Cyanosis
Hands cool and moist
Tachycardia and JVD
Coughing
Interventions
Prevent
Assess degree of dyspnea
Auscultate lung and heart sounds
Assess peripheral edema
Hacking cough
Fatigue
Increase dose of diuretics
Place upright with legs and feet dangling over side of bed
Give O2 by nonrebreather mask
Monitor BP when diuretics are given
Pathophysiology
Results from Left sided HF
Left ventricule fails
Blood accumulates in right atrium
Rapid increase of arterial pressure
Acute increase in hydrostatic pressure
Forces flid out of the pulmonary capillaries and into the interstitial spaces and alveoli
Fluid mixes with air
Frothy pink sputum
1 more item...
Accumulation of fluid in interstitial spaces and alveoli of the lungs