Pulmonary edema is a condition caused by excessive fluid in the lungs, making it difficult to breathe. There are two main types: cardiogenic, caused by issues with the heart like weakened pumping from heart disease or damage, and non-cardiogenic, caused by things like drug use, smoke inhalation, or viral infections which damage the lungs. Complications can include swelling in the legs and abdomen. Treatment focuses on removing excess fluid with diuretics, relieving symptoms, and addressing the underlying cause.

2. DEFINITION:-
Pulmonary edema is a condition which caused by
excessive fluid in the lungs. In this fluid collect in
numerous air sec in lungs making it difficult to breath.

3. Cardiogenic:-
Coronary artery disease:-
When there is blockage or narrowing of coronary artery it
also cause weakness of left ventricular muscle.
So pumping action of the heart( LT ventricle) weakened.
blood gradually back up in to the lungs forcing the fluid in
blood to pass through the capillary wall in to the air sec.
Cardiomyopathy:-
Due to damage of the heart muscle heart not able to
pump sufficient amount of blood which leads to faster heart
beat with exertion to maintain body need, body consume
salt to increase BP. Salt cause water retainsion in the body.
Heart valve problems.
Untreated high BP enlarge the heart.

6. Non Cardiogenic:-
ARDS:- Hear the lungs suddenly filled with fluid and
inflammatory WBC due to any trauma, sepsis &
pneumonia.
High altitudes:- When someone goes above 8000 feet-
2400 meter increase from constriction of pulmonary
artery.
Illegal drugs:- Heroine & cocaine causes non
Cardiogenic pulmonary edema.
Pulmonary embolism.
Viral infection such as hanta virus & cause irritation to
small airway & alveoli resulting in fluid accumulation
Smoke inhalation:- It damage the membrane between
the air sec & capillaries & allow the fluid to enter the
lungs.
Drowning & aspiration of gastric fluid.

7. COMPLICATION:-
Lower extremity & abdominal swelling.
Build up fluid in the membrane in the lungs.
Congestion & swelling of liver.
PREVENTION:-
Control BP.
Don’t smoke
Healthy Weight
Manage stress

8.  History collection
 Physical examination
 Chest X-Ray:- To detect pulmonary edema.
 Pulse oxymetry:- To determine oxygen
concentration in extremities.
 Blood test :- To determine sodium, potassium &
marker of renal function ( Creatinin, urea),
inflammatory marker such as C- Reactive , Liver
enzyme.
 ECG
 ECHO
 Cardiac cath

10. Diuretics:- To remove excessive water from body.
EX- Lasix.
Morphine:- To relieve shortness of breath & anxiety
O2 therapy :- To relive hypoxia
Dobutamin:- To increase cardiac contractility.