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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

Causes:

•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)