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Pulmonary oedema

From Mediwikis

Fluid accumulation in the air spaces and lung parenchyma. Leads to impaired gas exchange and can cause RF


•Left ventricular Failure

•Injury to the lung parenchyma or vascular of the lung

Complications: RF, MI (due to hypoxia), death

Symptoms: SOB, coughing up blood (pink frothy sputum), orthopnea, PND

Diagnosis: Low O2 sats, CXR showing the signs of HF; ABCDE (Alveolar oedema, kerley B lines, Cardiomegaly, Dilated prominent upper lobe vessels, pleural Effusion), ECHO to look at LV function

Management: Oxygenation, intravenous nitrates and loop diuretics (furosemide)