- Acute cardiogenic pulmonary oedema presents as rapid onset of severe dyspnoea (often first occurring at night) as well as tachypnoea and tachycardia
- Other features include:
- Poor peripheral perfusion
- Widespread lung crackles (+/- wheezes)
- Management
- Outpatient setting
- 🍒What is the management of acute cardiogenic pulmonary oedema in the outpatient setting?
- 🍒What should be added to management of acute cardiogenic pulmonary oedema if clinical response is inadequate to oxygen and furosemide therapy in the outpatient setting?
- Inpatient setting
- Consider Acute Coronary Syndromes, Hypertensive emergency, arrhthmias, mechanical cardiac causes (e.g. Mitral regurgitation) or acute Pulmonary Embolism
- 🍒What is the management of acute cardiogenic pulmonary oedema in the inpatient setting?
- 🍒What should be added to management of acute cardiogenic pulmonary oedema if clinical response is inadequate to oxygen, furosemide gtn therapy in the inpatient setting
- 🍒What should be added to management of acute cardiogenic pulmonary oedema if the patient has Atrial Fibrilation with rapid ventricular rate that is thought to be contributing to poor cardiac output?
- 🍒What should be added to management of acute cardiogenic pulmonary oedema if patient is not responding to other measures and is hypotensive or poorly perfused
- Source:
- eTG: Acute Cardiogenic Pulmonary Oedema