Pulmonary oedema

PULMONARY OEDEMA

Pulmonary Edema

  • Accumalation of Extravascular Fluid
  • Etiopath - Alteration in a capillary Endo, Basement Memb. alveolar epithelium, interstial
  • Comp. Pulm. Lympaties
    • Physical forces like, hydrostatic Press. in caps.
  • Hydro. P in Interstitium. Obs. lymphatics
  • Cap. Osmotic P. Osmotic P in Interstitum
    • Pours in alveoli and terminal Bronchiole
    • Dyspena, Tachypnea, - metabolic Acidosis
  • Etio - Cardiogenic - Lt. heart Failure. Cardiomyopathy non cardiogenic - Hypoalbuminemia, diffuse Neop.
    • Iatrogenic overhydration & left heart & Renal failure
    • Viral and Bact Infections, Anaphylaxis
    • Toxicosis - Phosgene, ANTU, Paraquat, Venoms
    • Neurogenic, I/cranial P. - acute onset
    • Electric shock, Aspiration of Irritants, DIC, Thoracic Trauma
  • Signs - Tachypnea, dyspnea, moist cough, Harsh rales. Cyanosis, Nemoptysis
    • Muffled Heart sounds
  • Dx - MDB, x-ray
  • Rx - Acute - Treat as emergency. Oxy. Diuretics
    • Bronchodilators, correct acidosis
    • Lasix/mg/lb/v TID; Digoxin. 0/mg/lb po.
  • Ammophyllin % mg/lb/TID.
Last modified: Tuesday, 5 June 2012, 12:19 PM