Please enable JavaScript.
Coggle requires JavaScript to display documents.
ACUTE PULMONARY OEDEMA (MANAGEMENT (if there is failure of the above or…
ACUTE PULMONARY OEDEMA
defined as fluid in the lung interstitium and alveolar space. it can arise de novo, but more commonly presents acute-on-chronic. there are several reasons why acute pulmonary oedema may occur in a pt without decompensated HF
AETIOLOGY
Can occur secondary to acute left ventricular failure (cardiogenic) or secondary to systemic illness (non-cardiogenic). a pt with chronic HF may deteriorate into APO.
-
-
CLINICAL FEATURES
KEY FEATURES
cough productive pink, frothy sputum
patient appears acutely unwell: sweaty, anxious and fatigued
-
EXAMINATION FINDINGS
resp distress: tachypnoea, pallor, cyanosis
fluid overload:
-
-
-
lung crepitations: key diagnostic feature, often inspiratory and bibasal
-
-
low CO state:
-
hypotension, although HTN is more common in the acute setting as a consequence of high circulating blood volumes and catecholamines secondary to the stress of illness
-
-
-
-
MANAGEMENT
-
-
-
IV morphine - reduces anxiety and dyspnoea, venodilates (reduces afterload) and antagonises the effects catecholamines, thereby reducing myocardial oxygen demand
-
-
-