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PULMONARY EDEMA
PREPARED BY DOLISHA WARBI
DEFINITION:
Pulmonary edema is the abnormal accumulation of the fluid in the interstitial space and alveoli of the lung.
CAUSES:
§ Congestive heart failure.
§ ARDS (acute respiratory distress syndrome).
§ Medication overdose example aspirin.
§ Intracranial hemorrhage.
§ Kidney failure
§ Pulmonary embolism
§ Severe seizure.
PATHOPHYSIOLOGY:
Disruption of endothelial barrier allow protein to escape capillary bed and enhance movement of fluid in
to the tissue of the lung
Lymphatic obstruction
Damage to the alveolar-capillary barrier
Increase pulmonary capillary pressure
SIGNS AND SYMPTOMS:
ü Dyspnea
ü Tachycardia
ü Cyanosis
ü Restlessness
ü Agitation
ü Wheezing
ü Crackles
ü Sudden weight gain
ü Decreased urinary output
ü Low O2 saturation
ü Hand may be cool and moist
DIAGNOSTIC EVALUATION:
Ø Chest X Ray.
Ø CT scan.
Ø Blood test (CBC).
Ø ABG testing
Ø Echocardiogram
MANAGEMENT:
§ Oxygen therapy
§ Diuretics (Furosemide)
§ Vasodilators (IV Nitroglycerin)
§ Positioning
§ Needle aspiration
NURSING MANAGEMENT:
o Monitor vital signs
o Instruct the patient positioned upright.
o Encourage liquid intake
o Chest physiotherapy, if needed
o Monitor I/O regularly
o Instruct the patient not to take any caffeine, alcohol or beverages
THANKS YOU

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PULMONARY EDEMA AND ITS MANAGEMENT.pdf

  • 2. DEFINITION: Pulmonary edema is the abnormal accumulation of the fluid in the interstitial space and alveoli of the lung. CAUSES: § Congestive heart failure. § ARDS (acute respiratory distress syndrome). § Medication overdose example aspirin. § Intracranial hemorrhage. § Kidney failure § Pulmonary embolism § Severe seizure.
  • 3. PATHOPHYSIOLOGY: Disruption of endothelial barrier allow protein to escape capillary bed and enhance movement of fluid in to the tissue of the lung Lymphatic obstruction Damage to the alveolar-capillary barrier Increase pulmonary capillary pressure
  • 4. SIGNS AND SYMPTOMS: ü Dyspnea ü Tachycardia ü Cyanosis ü Restlessness ü Agitation ü Wheezing ü Crackles ü Sudden weight gain ü Decreased urinary output ü Low O2 saturation ü Hand may be cool and moist
  • 5. DIAGNOSTIC EVALUATION: Ø Chest X Ray. Ø CT scan. Ø Blood test (CBC). Ø ABG testing Ø Echocardiogram MANAGEMENT: § Oxygen therapy § Diuretics (Furosemide) § Vasodilators (IV Nitroglycerin) § Positioning § Needle aspiration
  • 6. NURSING MANAGEMENT: o Monitor vital signs o Instruct the patient positioned upright. o Encourage liquid intake o Chest physiotherapy, if needed o Monitor I/O regularly o Instruct the patient not to take any caffeine, alcohol or beverages