Treatment of pulmonary edema should be focused on ‘fluid redistribution’ and not ‘fluid removal’. First line: Nitroglycerin and NIV (start ASAP) Second line: ACE-I (in addition or instead of NTG) Third line: Diuretic like furosemide Morphine has NO ROLE in modern management of cardiogenic pulmonary edema
There’s minimal or no role for the administration of loop diuretics (Furosemide/Lasix) early in the management of Acute Pulmonary Edema. The majority of patients aren’t volume overloaded. Immediate care should focus on Non-Invasive Positive Pressure Ventilation and administration of nitroglycerin. In patients with End Stage Renal Disease, dialysis is what’s ultimately going to fix the […]
Key points: 1. There’s minimal or no role for the administration of loop diuretics (Lasix) early in the management of APE. The majority of patients aren’t volume overloaded. 2. Immediate care should focus on NIPPV and administration of nitroglycerin.
N – near drowning… O – oxygen therapy / post intubation pulmonary edema T – trauma / transfusion (TRALI – transfusion-related acute lung injury) C – CNS – neurogenic pulmonary edema A – allergic alveolitis R – renal failure D – drugs I – inhalation (toxins) A – altitude (HAPE – high-altitude pulmonary edema), ARDs […]
Very nice way to learn about heart disease and current practice guidelines