Pulmonary oedema
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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
- 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.
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Last modified: Tuesday, 5 June 2012, 12:19 PM