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    Cardiogenic Pulmonary Edema

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    Airish Lim
    Cardiogenic pulmonary edema is caused by elevated pressure in the heart due to conditions like heart failure that prevent the left ventricle from adequately pumping blood out of the lungs. The increased pressure forces fluid through the blood vessel walls into the air sacs of the lungs, causing shortness of breath, coughing up foamy secretions, and other respiratory distress symptoms. Diagnosis involves chest x-rays, blood tests, and other imaging and cardiac tests to identify the underlying heart condition contributing to the fluid buildup in the lungs. Treatment focuses on correcting hypoxemia, reducing preload and afterload on the heart, and supporting perfusion and cardiac function.

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    Cardiogenic Pulmonary Edema

    Uploaded by

    Airish Lim
    86 views1 page
    Cardiogenic pulmonary edema is caused by elevated pressure in the heart due to conditions like heart failure that prevent the left ventricle from adequately pumping blood out of the lungs. The increased pressure forces fluid through the blood vessel walls into the air sacs of the lungs, causing shortness of breath, coughing up foamy secretions, and other respiratory distress symptoms. Diagnosis involves chest x-rays, blood tests, and other imaging and cardiac tests to identify the underlying heart condition contributing to the fluid buildup in the lungs. Treatment focuses on correcting hypoxemia, reducing preload and afterload on the heart, and supporting perfusion and cardiac function.

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    Cardiogenic pulmonary edema is caused by elevated pressure in the heart due to conditions like heart failure that prevent the left ventricle from adequately pumping blood out of the lungs. The increased pressure forces fluid through the blood vessel walls into the air sacs of the lungs, causing shortness of breath, coughing up foamy secretions, and other respiratory distress symptoms. Diagnosis involves chest x-rays, blood tests, and other imaging and cardiac tests to identify the underlying heart condition contributing to the fluid buildup in the lungs. Treatment focuses on correcting hypoxemia, reducing preload and afterload on the heart, and supporting perfusion and cardiac function.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    86 views1 page

    Cardiogenic Pulmonary Edema

    Uploaded by

    Airish Lim
    Cardiogenic pulmonary edema is caused by elevated pressure in the heart due to conditions like heart failure that prevent the left ventricle from adequately pumping blood out of the lungs. The increased pressure forces fluid through the blood vessel walls into the air sacs of the lungs, causing shortness of breath, coughing up foamy secretions, and other respiratory distress symptoms. Diagnosis involves chest x-rays, blood tests, and other imaging and cardiac tests to identify the underlying heart condition contributing to the fluid buildup in the lungs. Treatment focuses on correcting hypoxemia, reducing preload and afterload on the heart, and supporting perfusion and cardiac function.

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    Etiology Risk Factors

    Cardiogenic pulmonary edema is caused by elevated Medical conditions that can cause heart failure and lead to
    pressure in the heart. This is typically the product of pulmonary edema include:
    CARDIOGENIC heart failure. When the diseased or overworked left
    ─ Coronary artery disease
    ─ Cardiomyopathy
    PULMONARY ventricle cannot pump enough of the blood from your ─ Heart valve problems
    lungs, the pressures in your heart will increase. The ─ High blood pressure (hypertension)
    EDEMA increased pressure pushes fluid through the walls of ─ myocarditis
    ─ arrhythmias
    the blood vessel into the air sacs. ─ Kidney disease
    ─ Chronic health conditions

    Pathophysiology Clinical Manifestations Diagnostic Findings Interventions


    CORRECTION OF HYPOXEMIA
    ─ maintain adequate oxygenation
    Pulmonary edema occurs as a ü Increased respiratory ─ Chest X-ray REDUCE PRELOAD
    result of increased distress characterized by ─ Chest CT ─ Place in upright position
    ─ Diuretics are prescribed to promote fluid secretion
    microvascular pressure from dyspnea, air hunger, and ─ Pulse Oximetry ─ Nitrates are prescribed to decrease workload of
    abnormal cardiac function. The central cyanosis ─ Arterial blood gas test the heart muscle
    REDUCE AFTERLOAD
    backup of blood into the ü Patient is very anxious and ─ B-type natriuretic peptide ─ Antihypertensive agents are prescribed

    pulmonary vasculature agitated (BNP) blood v test ─ Angiotensin-converting Enzymes (ACE) inhibitors
    to reduce afterload and improve stroke volume and
    resulting from inadequate left ü Patient coughs up foamy, ─ Other blood tests cardiac output
    ─ Morphine is prescribed to reduce the sympathetic
    ventricular function causes an frothy, and often blood- ─ Electrocardiogram response and anxiety from dyspnea
    increased microvascular tinged secretions (ECG/EKG) SUPPORT PERFUSION
    ─ Inotropic medications are prescribed to support the
    pressure, and fluid begins to ü Patient experiences acute ─ Echocardiogram left ventricle
    ─ Nesiritide is used to decrease PCWP, pulmonary
    leak into the interstitial space respiratory distress and ─ Cardiac Catheterization artery pressure, right atrial pressure, and systemic
    and the alveoli. confusion and coronary angiogram vascular resistance while increasing cardiac output
    ─ Intra-aortic balloon pump may be required with
    ─ Ultrasound of the lungs severe heart failure and pulmonary edema

    References:
    Medical-Surgical Nursing by Brunner & Suddarth
    Medical-Surgical Nursing by Black & Hawks
    https://www.mayoclinic.org/diseases-conditions/pulmonary-edema/symptoms-causes/syc-20377009
    https://www.mayoclinic.org/diseases-conditions/pulmonary-edema/diagnosis-treatment/drc/20377014

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