Pulmonary edema medical therapy: Difference between revisions
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Pulmonary edema classified into cardiogenic and non-cardiogenic pulmonary edema, each requires different management and has a different prognosis.<ref name="pmid21219673">{{cite journal |vauthors=Murray JF |title=Pulmonary edema: pathophysiology and diagnosis |journal=Int. J. Tuberc. Lung Dis. |volume=15 |issue=2 |pages=155–60, i |date=February 2011 |pmid=21219673 |doi= |url=}}</ref> | Pulmonary edema classified into cardiogenic and non-cardiogenic pulmonary edema, each requires different management and has a different prognosis.<ref name="pmid21219673">{{cite journal |vauthors=Murray JF |title=Pulmonary edema: pathophysiology and diagnosis |journal=Int. J. Tuberc. Lung Dis. |volume=15 |issue=2 |pages=155–60, i |date=February 2011 |pmid=21219673 |doi= |url=}}</ref> | ||
=== Cardiogenic pulmonary edema: === | |||
The main goal of management is to alleviate symptoms and stabilize patient as well as to improve outcome. | |||
==== Oxygen therapy ==== | |||
* Administer oxygen as early as possible | |||
* Achieve 95% arterial oxygen saturation (90% in COPD patients) | |||
* Caution should be taken in patients with severe airway obstruction to avoid hypercapnia | |||
==== Drug therapy ==== | |||
* loop diuretics | |||
* Morphine and Its Analogues | |||
* Vasopressin Antagonists | |||
* Vasodilators | |||
* Inotropic agents | |||
* Dobutamine | |||
* Dopamin | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 20:05, 6 March 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]
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Overview
Medical Therapy
Pulmonary edema classified into cardiogenic and non-cardiogenic pulmonary edema, each requires different management and has a different prognosis.[1]
Cardiogenic pulmonary edema:
The main goal of management is to alleviate symptoms and stabilize patient as well as to improve outcome.
Oxygen therapy
- Administer oxygen as early as possible
- Achieve 95% arterial oxygen saturation (90% in COPD patients)
- Caution should be taken in patients with severe airway obstruction to avoid hypercapnia
Drug therapy
- loop diuretics
- Morphine and Its Analogues
- Vasopressin Antagonists
- Vasodilators
- Inotropic agents
- Dobutamine
- Dopamin