A client develops cardiogenic pulmonary edema and is extremely apprehensive. Nitroglycerin, sodium nitroprusside, and isosorbide dinitrate are medications the nurse can administer with physician orders that will relieve anxiety and slow the respiratory rate.
The buildup of excessive fluid in the lungs' alveolar walls and alveolar gaps is known as cardiogenic pulmonary edema. It necessitates rapid evaluation and therapy because it may be a life-threatening illness in some patients with a high fatality rate.
The pathogenesis, clinical manifestations, assessment, and therapy of cardiogenic pulmonary edema are covered in this exercise, which also emphasizes the need for interprofessional team members to collaborate to deliver well-coordinated care and improve patient outcomes.
After initial resuscitation and management, diuresis with or without vasodilatory therapy is the cornerstone of treatment in acute circumstances.
If there are no NIV contraindications, a trial of NIV should be performed if respiratory distress and hypoxemia persist despite oxygen supplementation. Evidence suggests that NIV reduces the need for intubation and enhances respiratory parameters.
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