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by paigeanderica
Last updated 6 years ago

Human Anatomy

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Signs & SymptomsRestlessnessDisorientationSevere DyspneaTachycardiaPallor/CyanosisBlood tinged frothy sputumAudible wheezing & cracklesCold Extremities

Medical ManagementHigh fowlers position- Promotes expansion of the lungs.Morphine- Decreases anxiety, slows respirations, decreases oxygen demand & dilates pulmonary & systemic blood vessels.Sublingual Nitroglycerin- Increases myocardial blood flow.Diuretics-(Lasix/Bumex) Reduces pulmonary edema by decreasing the fluid in the lungs & increasing excretion through the kidneys.Foley Catheter- Allows patient to rest and conserve energy & monitors urinary output.Inotropic Agents-(Dobutrex/inocor) Increases myocardial contractility without increasing oxygen consumption, increase peripheral vasodilation & increases cardiac output.Nitroprusside- Potent vasodilator that improves myocardial contraction & reduces pulmonary congestion.

Nursing Diagnosis/InterventionExcess fluid volume, r/t fluid accumulation in pulmonary vessels- Administer meds as ordered, carefully monitor I/O, weigh patient at same time each day, assess for edema.Impaired gas exchange r/t fluid in the lungs- assess for signs of hypoxia such as restlessness, disorientation & irritability, monitor arterial blood gases per physicians order, administer oxygen per physicians order & position patient in high fowlers position to facilitate breathing.Anxiety, r/t fear of suffocation & death- promote optimal air exchange to decrease anxiety, asses level of anxiety & coping mechanisms & assess support systems available to patient & mobilize resources.

PrognosisPulmonary Edema is a grave life threatening condition that is usually responsive to aggressive interventions

PULMONARY EDEMAAccumulation of extravascular fluid in the lung tissues & alveoli !


Pulmonary Edema is caused by severe left ventricular dysfunction.Fluid from the left side of the heart backs up into the pulmonary vasculature & fluid accumulates in the interstital space & alveoli.Patients end up "Drowning" in their own secretions.YOU SHOULD STOP SMOKING IMMEDIATELYbecause Mrs. Cieri said so !


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