Pulmonary Edema
Pulmonary Edema
Pulmonary Edema
the tide of
cardiogenic
pulmonary
edema
Find out how to recognize
patients at risk for this sudden
and life-threatening disorder
and what to do if it occurs.
BY MARCIA BIXBY, RN, CCRN, CS, MS
C
E
2.5
ANCC/AACN
CONTACT
HOURS
Alveolus
Normal alveolus
Capillary
beds
Congested alveolus
Capillary
Alveolus
Normal
blood flow
www.nursing2005.com
Pulmonary edema
Capillary
Alveolus
Interstitial
space
Increased
hydrostatic pressure
Congested
interstitium
Alveolus
Greatly increased
hydrostatic pressure
Nursing2005, May
57
Your patient will feel panicky as he struggles to breathe. So as youre administering treatment,
toward the apex of the lungs. On
chest X-ray, pulmonary edema
appears as diffuse haziness in the
lung fields.
As his respiratory distress
increases, the patient will want to
sit up; lying down makes breathing
even harder and raises his respiratory rate. Because of peripheral
vasoconstriction, his SpO2 reading
wont be reliable.
Reduced urine output. Decreased
CO decreases the glomerular filtration rate, increasing sodium and
water retention and reducing urine
output. During the acute phase of
pulmonary edema, monitoring
your patients hourly urine output
via an indwelling urinary catheter
can help you assess his response to
treatment and guide further interventions.
Cough and frothy, pink-tinged
sputum. Proteins and red blood
cells in the fluid in the alveoli turn
the patients sputum pink and
frothy, a characteristic of pulmonary edema.
Mental status changes. As blood
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S E L EC T E D W E B S I T E
Staying vigilant
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Provider Accreditation:
This Continuing Nursing Education (CNE) activity for 2.5 contact hours is
provided by Lippincott Williams & Wilkins, which is accredited as a provider
of continuing education in nursing by the American Nurses Credentialing
Centers Commission on Accreditation and by the American Association of
Critical-Care Nurses (AACN 00012278, CERP Category A). This activity is
also provider approved by the California Board of Registered Nursing,
Provider Number CEP 11749 for 2.5 contact hours. LWW is also an
approved provider of CNE in Alabama, Florida, and Iowa and holds the following provider numbers: AL #ABNP0114, FL #FBN2454, IA #75. All of its
home study activities are classified for Texas nursing continuing education
requirements as Type I.
Your certificate is valid in all states. This means that your certificate of
earned contact hours is valid no matter where you live.
Payment and Discounts:
The registration fee for this test is $16.95.
If you take two or more tests in any nursing journal published by
LWW and send in your CE enrollment forms together, you may deduct
$0.75 from the price of each test.
We offer special discounts for as few as six tests and institutional
bulk discounts for multiple tests. Call 1-800-933-6525, ext. 6617 or
ext. 6621, for more information.
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C E
2.5
ENROLLMENT FORM Nursing2005, May, Turn back the tide of cardiogenic pulmonary edema
A. Registration Information:
Address _______________________________________________________________________________
City _______________________________________ State _________________ ZIP ______________
Telephone ____________________ Fax ____________________ E-mail ____________________
Registration Deadline: May 31, 2007
Contact hours: 2.5
Pharmacology hours: 0.0
Fee: $16.95
B. Test Answers: Darken one circle for your answer to each question.
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C. Course Evaluation*
1. Did this CE activity's learning objectives relate to its general purpose? Yes No
2. Was the journal home study format an effective way to present the material? Yes No
3. Was the content relevant to your nursing practice? Yes No
4. How long did it take you to complete this CE activity?___ hours___minutes
5. Suggestion for future topics __________________________________________________________
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*In accordance with the Iowa Board of Nursing administrative rules governing grievances, a copy of your evaluation of the CE offering may be submitted directly to the Iowa Board of Nursing.