Pulmonary Oedema - Ix, Causes, Mx Flashcards
1
Q
Ix
? - initial T1RF due to ?, with later T2 due to impaired ? ?
FBC, U+E, glucose, ? to rule out PE, CRP
CXR - diffuse ? (bat wing oedema) with ? ? lines and ? ? vessel enlargement, ? and pleural ?
ECG - ?, ?, signs of cardiac cause
?- to demo a cardiac cause eg MI/? disease
A
ABG hyperventilation gas exchange d-dimer haziness kerley b upper zone cardiomegaly effusions tachy arrhythmia ECHO valvular
2
Q
Causes Incr ? pressure -cardiogenic: ???, ? disease, arrhythmias, ??D, cardiomyopathy, negative ? drugs -? venous obstruction -iatrogenic ? overload
A
capillary LVF valve VSD inotropic pulmonary fluid
3
Q
Causes Incr capillary ? -???S -infection: ?/? -?? coagulation -inhaled ?
A
permeability ARDS sepsis/pneumonia disseminated intravascular toxins
4
Q
Causes Reduced plasma ? failure -?/? failure -> hypo?aemia ? obstruction -?/parasitic infection Others -neurogenic: raised ?/head injury -pulm ? -altitude
A
oncotic renal/liver albumin lymphatic tumour ICP embolism
5
Q
Mx of decomp heart failure causing pulm oedema: -sit pt ? and give ?% O2 -IV ? 1.25-5mg + metoclopramide -IV ? 40-80mg both over 5-10minutes -? ? 2 puffs sublingual (unless SBP ) -necessary ? and Hx
A
upright 100 diamorphine furosemide GTN spray 90 Ix
6
Q
Mx of decomp heart failure causing pulm oedema:
- if SBP >100 start an IV infusion of ?
- -consider non-invasive ? (eg ?) if no improv
- if SBP <100 treat as ? ?, alert ???
- -may need ? ventilation
A
nitrates ventilation CPAP cardiogenic shock ICU invasive
