#. Pulmonary Edema - is a complication of various heart and lung diseases and usually occurs from increased pulmonary vascular pressure secondary to severe cardiac dysfunction
In older adults, increases risk for pulmonary edema occurs related to decreased :-
CO and HF
#. Health promotion to prevent Pulmonary edema :-
exercise
diet low in sodium with fluid restrictions
don't smoke
#. Risk factors of pulmonary edema :-
acute MI
fluid volume overload
HTN
valvular heart disease
postpneumonectomy
post evacuation of pleural effusion
left sided HF
trauma
sepsis
#. People complain of anxiety or inability to sleep when they have pulmonary edema.
#. Objective findind of pulmonary edema :-
presistent cough with pink, frothy sputum
tachypnea, dyspnea, and orthopnea
hypoexemia
cyanosis
crackles
tachycardia
reduced urine output
confusion
gallop heart at S3
#. Nursing care for pulmonary edema :-
vital signs every 15 min until stable
watch intake and output
check ABGs, electrolytes, SaO2, Xray
maintain airway
high fowlers
give O2
restrict fluids
watch urine output
#. Medications for pulmoary edema :-
diruetics to promote fluid excretion
#. In a person who has pulmonary edema, give vasodilators to decrease preload and after load
#. In an emergency situation of acute pulmonary edema do the following management :-
high fowlers
give O2
IV morphine
IV diuretics
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