Edema Flashcards

(68 cards)

1
Q

Which of the following is NOT a major pathologic or structural change of the lungs associated with cardiogenic pulmonary edema ?

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2
Q

Pulmonary edema

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3
Q

Direction of fluid movement in the lungs when pulmonary edema occurs

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4
Q

What happens to the interstitial spaces and alveolar walls during pulmonary edema?

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5
Q

What happens to the surface tension in the alveoli?

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6
Q

Summarize the major pathologic and structural changes associated with pulmonary edema.

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7
Q

Pulmonary edema hydrostatic pressure
ordinarily, hydrostatic pressure is about _________________ and tends to move fluid out of the pulmonary capillaries into the interstitial space. This force is normally offset by colloid osmotic forces.

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8
Q

to pulmonary edema-colloid osmotic pressure

The other name for colloid osmotic pressure is ?

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9
Q

Which of the following is the most unlikely cause of cardiogenic pulmonary edema?

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10
Q

What is the normal range of hydrostatic pressure that moves fluid out of the pulmonary capillaries and into the interstitial space?

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11
Q

What is the normal range of colloid osmotic pressure (that opposes hydrostatic pressure )which tends to keep fluid in the pulmonary capillaries?

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12
Q

What is the other name for colloid osmotic pressure?

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13
Q
  1. When a imbalance occurs between hydrostatic pressure and oncotic, pressure pulmonary edema will result.
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14
Q

describe the imbalance between these forces that results in pulmonary edema.For example, what is the most likely imbalance? Is it a decrease in oncotic pressure?

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15
Q

major causes of cardiogenic pulmonary edema.

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16
Q

. pulmonary edema-breathing patterns (1.0 point)

Which of the following abnormal ventilatory patterns and findings are associated with cardiogenic pulmonary edema?

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17
Q
  1. List the path of physiologic mechanisms which cause an increased respiratory rate for patients with pulmonary edema.
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18
Q

definition of Cheyne-Stokes ventilation and be able to recognize the pattern. Make the connection between Cheyne-Stokes respiration and left-sided heart failure which is a common cause of pulmonary edema

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19
Q

pulmonary edema lung volumes and capacities (1.0 point)
Which of the following statements are correct regarding lung volume and capacity changes resulting from cardiogenic pulmonary edema?

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20
Q
  1. As pulmonary edema progresses what happens to the TLC, in VC, and FRC?
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21
Q
  1. As pulmonary edema progresses what happens to the tidal volume Vt?
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22
Q

As pulmonary edema progresses what happens to the diffusion capacity?

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23
Q
  1. Is cardiogenic pulmonary edema classified as they obstructive or a restricted disease?
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24
Q

pulmonary edema and ABGs (1.0 point)

Which of the following ABGs indicate that the patient has a more severe case of pulmonary edema?

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25
Describe the blood gases of a patient with mild to moderate pulmonary edema
1
26
Describe the blood gases of a patient in severe pulmonary edema.
1
27
What is the normal shunt fraction Qs/Qt ?
1
28
How is the shunt fraction changed by pulmonary edema?
1
29
What is the formula for Total Oxygen Delivery (Do2 )?
1
30
How is total oxygen delivery (Do2 ) affected by pulmonary edema? What part of the equation is changed by pulmonary edema?
1
31
Why do patients with untreated cardiogenic pulmonary edema frequently present with cyanosis?
1
32
Define Cardiac Output (CO).
1
33
What is the formula for cardiac output?
1
34
Why do patients with cardiogenic pulmonary edema frequently suffer from a decrease in cardiac output and how does that affect oxygen delivery Do2 ?
1
35
What is the normal pulmonary artery pressure (PAP)?
1
36
What is the normal range for pulmonary capillary wedge pressure (PCWP)?
1
37
27. What is the normal pulmonary artery pressure (PA).
1
38
28. Why do patients with cardiogenic pulmonary edema frequently suffer from a elevated pulmonary artery pressure (PA), also known as pulmonary hypertension?
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39
29. Define pulmonary capillary wedge pressure (PCWP) and describe how it is measured.
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40
30. What is the normal range for pulmonary capillary wedge pressure (PCWP)?
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31. How is pulmonary capillary wedge pressure (PCWP) changed by cardiogenic pulmonary edema?
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42
32. How can pulmonary capillary wedge pressure (PCWP) used to monitor the progression of cardiogenic pulmonary edema?
1
43
Patients with cardiogenic pulmonary edema typically present with _______sputum.
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44
33. Describe the cough and sputum of a patient with cardiogenic pulmonary edema
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45
34. Describe the chest assessment findings of a patient with cardiogenic pulmonary edema
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46
35. Are pleural effusions common and for patients with cardiogenic pulmonary edema?
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47
36. Why did patients with cardiogenic pulmonary edema experience the symptoms of " paroxysmal nocturnal dyspnea and orthopnea"?
1
48
Which of the findings is NOT commonly found in a chest x-ray of a patient with cardiogenic pulmonary edema?
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49
37. List the four common radiographic findings associated with cardiogenic pulmonary edema
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50
38. Describe the typical alveolar filling pattern seen on chest x-ray associated with cardiogenic pulmonary edema
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51
39. Is a typical for the peripheral portion of the chest x-ray to remain clear from alveolar infiltration, of a patient with cardiogenic pulmonary edema?
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52
It is common for chest x-rays of patients with cardiogenic pulmonary edema to exhibit a line known as Kerley A lines. Where do Kerley A lines originate? Describe them. What causes them?
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53
41. It is common for chest x-rays of patients with cardiogenic pulmonary edema to exhibit a line known as Kerley B lines. Where do Kerley B lines originate? What is another name for Kerley B . lines Describe them. What causes them
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hypokalemia
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hyponatremia
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56
43. Why do patients with cardiogenic pulmonary edema frequently present with the electrolyte imbalances of hypokalemia and hyponatremia?
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57
44. What do positive inotropic (ino-o-trop-ic) agents do for a patient with cardiogenic pulmonary edema? How will they benefit the patient?
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58
45. Name to common inotropic drugs used to treat cardiogenic pulmonary edema.
1
59
46. Systemic hypertension increases cardiac workload and makes cardiogenic pulmonary edema worse. Name the group of drugs that can be used to treat systemic hypertension associated with cardiogenic pulmonary edema
1
60
How does morphine sulfate help treat cardiogenic pulmonary edema?
1
61
Name the group of drugs that are used to promote fluid excretion.
1
62
function of albumin in the treatment of cardiogenic pulmonary edema.
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63
What is the effect of mask CPAP therapy on the PaO2 and SaO2 of a Patient in Cardiogenic Pulmonary Edema?
1
64
How does mask CPAP improve lung function? There are four listed.
1
65
What the lung capacity will mask CPAP increase?
1
66
What is refractory hypoxemia
1
67
Can oxygen therapy typically be used without mask CPAP to treat the hypoxemia resulting from cardiogenic pulmonary edema?
1
68
What patient position can be used to reduce patient dyspnea?
1