Acute Pulmonary Edema PDF

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Description

STUDENT NAME DISORDER/DISEASE PROCESS

Stillysta Sherlita Acute Pulmonary Edema

Alterations in Health (Diagnosis)

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Pathophysiology Related to Client Problem Accumulation of fluid in the alveloli and interstitial spaces of the lungs that can result Pulmonary Edema- severe, lifethreatening

-Endotrach t ub e trauma/-Altere d pos it ion, -As piration pne umonia

Health Promotion and Disease Prevention -Exercise routine to remain physically active-Consume a diet low in sodiumfluid restrictions- STOP smokingFollow medication regime

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Rx: take med as prescribed, discuss OTC w/ DR, no ETOH DIET: Low sodium, low cholesterol limit red meat, fry foods. -Eat a balanced diet. Make an apt with a dietitian -Do not eat > 2,000mg nacl/day. That is less than 1 teaspoon of salt a day, including all the salt you eat in prepared or packaged foods. Lifestyle: Stay out of air pollution; smog; cold, dry air; hot, humid air; and high alt.-Do Breathing methodshelp the airflow in- out your lungs. -Take rest breaks often. Schedule short rest breaks when doing housework and other activities. An OT/PT can help. -STOP SMOKING

-Left-sided heart failure -Trauma Sepsis -Drug overdose

Acute MI, Fluid volume overload Hypertension, Valvular heart disease Post-Pneumonectomy, Acute respiratory failure

Laboratory Tests

Diagnostic Procedures

ABG's- Arterial blood gas, elyte levels O2 -BMP panel BNP test -Urinalysis-Infection -Thyroid test -ALT/AST level -Sputum test

-CXR -CHEST-CT --Pulse Oxymeter

-Ultrasound for LUngs

-EKG/ECG -ECOCARDIOGRAM -Cardiac catheter/Coronary Angiography

HAPE

PATIENT-CENTERED CARE

Nursing Care

Complications Medications

Client Education

-Tech promote effective breathing Position high fowlers to decrease -Rapid acting diuretic -Continue on meds, -Understand (furosemide& Bumetanide) Preload - Monitor VS q15m, I&O prescribed meds & admin,- Low-Restrict fluids -Admin high-flow -Morphine: anxiety, & sodium diet, restrict fl,- daily weight at O2 - Maintain patent airwaypromotes vasodilation the same time, Report swelling of Feet Suction PRN or ankles/SOB, exercise daily, -Vasodilators (nitro, sodium nitroprusside): STOP Smoking, No ETOH decrease pre- afterload . agents Therapeutic Procedures -Inotropic Interprofessional Care (digoxin/ dobutamine) Dietician, RT, PT. improve cardiac output Intubation & mech ventilation

Kinetic therapy-For older adults, IVf must be admin at a slower rate to prevent circulatory overload

Cardiovascular

-Antihypertensives (ACE & Beta blockers)

Respiratory therapy

-Increased risk for pulmonary edema occurs r/t decreased cardiac output and HF -Increased risk for fluid and electrolyte imbalance when older adult receives tx with Diuretic -Cardiogenic shock (tachycardia, hypotension, low urine output, altered LOC, rest distress, cool clammy skin) -Pleural Effusion -Breathing difficulty -Congestion & Lever edema .

ACTIVE LEARNING TEMPLATES

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