ACTIVE LEARNING TEMPLATE: System Disorder
STUDENT NAME DISORDER/DISEASE PROCESS Pulmonary edema
REVIEW MODULE CHAPTER
Alterations in Health (Diagnosis)
Pathophysiology Related to Client Problem This results from increased pulmonary capillary hydrostatic pressure or decreased colloid osmotic pressure. Normally the two pressures are in balance.
Health Promotion and Disease Prevention
Accumulation of fluid in the extravascular spaces.
Remain on diuretics if necessary Controlling blood pressure Eating heart healthy diet Frequent activity
ASSESSMENT
SAFETY CONSIDERATIONS
Risk Factors
Expected Findings - Crackles in the lungs persistent cough - Jugular vein distention - nasal flaring - wheezing - Tachycardia Pleural effusion
Acute myocardial ischemia and infarction Arrhythmias - Hypertension - fluid overload - Left-sided heart failure - pneumonia
Laboratory Tests
Diagnostic Procedures
ABG - WBC B-type natriuretic peptide Creatinine level
Chest X- ray Echocardiography
PATIENT-CENTERED CARE
Complications
Nursing Care
Medications
Client Education
- Respiratory and metabolic acidosis - Respiratory failure - cardiac or respiratory arrest - Pulmonary fibrosis - death
- Monitor ABG, respiratory Supplemental rate, lung sounds,vital signs. oxygen Daily weights Diuretics I's and O's Digoxin
- Report to health care provider if patient gain 2 Ib in 2 days - Advise to avoid alcohol - Educate about possible orathastic pressure
Therapeutic Procedures
Interprofessional Care
Noninvasive positive - pressure ventilation Endotracheal intubation Mechanical ventilation
Respiratory therapist - Cardiologist
ACTIVE LEARNING TEMPLATES
THERAPEUTIC PROCED