CHF/Pulmonary Edema

General appearance

• peripheral/pedal edema

• diaphoresis

• cyanosis

Respiratory pattern

• orthopnea

• PND

BS

crackles and wheezing

Cough

pink frothy secretions

DCP

flat or dull

Other chest assessment findings

increased tactile and vocal fremitus

CXR

“girly” terms:

• Fluffy

• butterfly or batwing

• Kerley A and B

ABG

respiratory alkalosis

Hemodynamics

increased PCWP and PAP

Cardiac enzymes

elevated BNP (<100)

High flow oxygen therapy via?

HFNC, nonrebreather

What position should this patient be in?

Fowler’s

_____ therapy (IPPB,IPV)

Hyperinflation

What medication to give to promote fluid excretion

Diuretics (furosemide/Lasix)

Positive inotropic agents

dig- drugs and dopamine

Analgesic used?

morphine

Preload reduction agents

nitro-

___ if indicated to promote oxygenation

CPAP

What to give for bradycardia?

atropine

What to give for tachycardia?

metoprolol