Flash pulmonary edema - Revision history

Danbot: Add MedicationDose entries (nitroglycerin IV/SL) with SMW annotations

2026-03-20T18:32:26Z

Add MedicationDose entries (nitroglycerin IV/SL) with SMW annotations

@@ Line 71: / Line 71: @@
 **Cyanide toxicity risk increases proportionately with infusion rate as well as length of time<ref>GlobalRPH. Nitroprusside (Nipride®). http://www.globalrph.com/nitroprusside_dilution.htm</ref>
 *If intubation required, consider [[delayed sequence intubation]]
 ==Disposition==

2023-01-25T17:53:54Z

Evaluation

← Older revision		Revision as of 17:53, 25 January 2023
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	{{BNP value}}		{{BNP value}}
			{{Lung ultrasound pulmonary edema}}

	==Management==		==Management==

2023-01-25T17:52:55Z

Management

← Older revision		Revision as of 17:52, 25 January 2023
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	==Management==		==Management==
			[[File:Starling.jpg\|thumbnail\|Goal in heart failure management is to reduce preload (EDV), to reach higher SV on Frank Starling curve.]]
	''Vasodilate arterial side, while maintaining oxygenation''		''Vasodilate arterial side, while maintaining oxygenation''
	*[[BiPAP]] with PEEP of 8 mmHg		*[[BiPAP]] with PEEP of 8 mmHg

2023-01-25T17:52:12Z

Evaluation

← Older revision		Revision as of 17:52, 25 January 2023
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	==Evaluation==		==Evaluation==
	[[File:PulmEdema.png\|thumb\|Pulmonary edema with small pleural effusions on both sides.]]		[[File:PulmEdema.png\|thumb\|Pulmonary edema with small pleural effusions on both sides.]]
			[[File:Kerley-B-Linien.jpg\|thumb\|Kerley B lines in acute cardiac decompensation. The short, horizontal lines can be found everywhere in the right lung.]]
	===Workup===		===Workup===
	*CBC (rule out anemia)		*CBC (rule out anemia)

2023-01-25T17:51:37Z

Clinical Features

← Older revision		Revision as of 17:51, 25 January 2023
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	==Clinical Features==		==Clinical Features==
			[[File:Elevated JVP.jpg\|thumb\|Marked jugular venous distension (arrow).]]
			[[File:PedalEdema.jpg\|thumb\|Pitting pedal edema]]
	*Rales, crackles		*Rales, crackles
	*[[Hypertensive emergency\|SBP >180 mmHg]]		*[[Hypertensive emergency\|SBP >180 mmHg]]

2023-01-25T17:50:28Z

2022-01-06T02:17:48Z

← Older revision		Revision as of 02:17, 6 January 2022
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	**Sympathetic surge occurs as a result of decreased systemic perfusion		**Sympathetic surge occurs as a result of decreased systemic perfusion
	**Afterload further increases and patient rapidly decompensates		**Afterload further increases and patient rapidly decompensates

	~~[[File:PulmEdema.png\|thumb\|Pulmonary edema with small pleural effusions on both sides.]]~~

	==Clinical Features==		==Clinical Features==
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	==Evaluation==		==Evaluation==
			[[File:PulmEdema.png\|thumb\|Pulmonary edema with small pleural effusions on both sides.]]
			===Workup===
	*CBC (rule out anemia)		*CBC (rule out anemia)
	*Chem		*Chem

2021-12-09T13:14:57Z

Clinical Features

← Older revision		Revision as of 13:14, 9 December 2021
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	*[[Hypertensive emergency\|SBP >180 mmHg]]		*[[Hypertensive emergency\|SBP >180 mmHg]]
	*[[Tachycardia]]		*[[Tachycardia]]
			*[[Tachypnea]]

	==Differential Diagnosis==		==Differential Diagnosis==

2021-03-11T16:37:25Z

← Older revision	Revision as of 16:37, 11 March 2021
(No difference)

2021-03-11T16:36:35Z

← Older revision		Revision as of 16:36, 11 March 2021
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	==Background==		==Background==
	*~~Commonly referred to~~ as ~~flash~~ pulmonary edema		*Also known as "sympathetic crashing acute pulmonary edema" (SCAPE)
	*Different from acute [[CHF]] exacerbation or hypotensive [[cardiogenic shock]], which do not have sympathetic overdrive		*Different from acute [[CHF]] exacerbation or hypotensive [[cardiogenic shock]], which do not have sympathetic overdrive
	*Patients can decompensate rapidly, so rapid intervention required		*Patients can decompensate rapidly, so rapid intervention required