Pulmonary edema - cardiac

Question 1

Path of cardiac pulmonary edema related

Answer 1

Acute ↑pressure of LV
Fluid accumulation in pulm interstitium

Question 2

C/F of cardiac pulmonary edema

Answer 2

1. SOB, cough with expectoration
2. PINK FROTHY SPUTUM
3. Crackles, rales, wheezing
4. Cyanosis

CXR:
1. BAT WING APPEARENCE
2. Kerley B lines
3. Cardiomegaly

Question 3

Mx of cardiac pulmonary edema

Answer 3

Main Rx: Hospitalisation
1. O2 therapy
2. Furosemide (interstitial nephritis, ototoxicity)

Can also:
1. Sitting upright
2. Morphine - anxiety
3. NTG - ↓cardiac load
4. Digoxin
5. IV ACEI