Condition Info - BotMed Application

ConditionName

Pulmonary edema

ConditionDescription

Increased fluid in the lung interstitial

Symptoms

Extreme dyspnea, SOB;
Restlessness, and anxiety with a sense of suffocation;
Cough producing blood-tinged sputum;

Orthopnea
Paroxysmal nocturnal SOB
Frothy pink sputum
Tachycardia
Wheezing

PhysicalFindings

Pallor, cyanosis;
Diaphoresis;
Pulse is rapid and low volume;
Blood pressure (BP) is variable. 
Noisy respiratory efforts often make cardiac auscultation difficult; 
3rd (S3) and 4th (S4) heart sounds;
Signs of right ventricular (RV) failure: neck vein distention, peripheral edema;

ClinicalTests

R/O: COPD; CHF; 
Chest x-ray;
Brain natriuretic peptide (BNP) may be elevated;
ECG (T wave abnormal, QT prolongation);
Cardiac markers: Troponin-I; CK-MB;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

Arrhythmias, MI, HTN, valvular HD;

ProgressionFromCondition

Left sided HF;
MI;
Valvular dz;
Arrhythmias;
ARDS;

TreatmentOptions

NO LIP;
Nitrates;
Oxygen;

PharmOptions

Loop diuretics;
Inotropic drugs;
Positioning;

WebLink

https://www.merckmanuals.com/en-ca/professional/cardiovascular-disorders/heart-failure/pulmonary-edema