Nursing assessment and management of patients with cardiogenic pulmonary edema

Feb 2012

[Article in Chinese]

Wang YJ, Liao CY, Kao CW.

Source

Assistant Professor, School of Nursing, National Defense Medical Center, ROC. chiwenkao@ndmctsgh.edu.tw.

Abstract

Cardiogenic pulmonary edema (CPE) is a clinical health problem that induces impaired gas exchange, dyspnea and hypoxia. This serious condition results in acute respiratory failure and high mortality rate. This article suggests an effective approach to CPE patient clinical symptom assessment and management. In accordance with evidence-based methods, we searched Cochrane, CINAHL and ScienceDirect and identified four Oxford Ia or Ib reports that employed a randomized controlled trial, systematic review and meta-analysis. Results suggest that prompt application of a non-invasive positive ventilator, especially continuous positive or bi-level positive airway pressure, can help patients reduce intubation risks, ICU stay days, and mortality rates. The authors hope to see more clinical trials on this topic to support evidence-based clinical nursing care.

PubMed

Persistent dyspnea and leg edema

Persistent dyspnea and leg edema
Allergy Asthma Proc. 2007 Jul-Aug

Nguyen KD, Frieri M.
New York College of Osteopathic Medicine, Old Westbury, New York 11568, USA. knguye01@nyit.edu

Abstract:

This case illustrates a complexity of confounding and overlapping symptoms that can masquerade as another diagnosis. A 56-year-old African American man with persistent dyspnea and leg edema was hospitalized three times in a period of 6 months. The patient was treated for asthma, chronic obstructive pulmonary disease, and congestive heart failure. Hypertension and peptic ulcer disease were treated also. Complete clinical improvement was not observed. A careful review of his last admission and current admission clinical presentation and laboratory evaluation revealed a systemic manifestation and laboratory findings consistent with atypical systemic lupus erythematosus.

Keywords: Asthma; atypical; chest pain; CHF; COPD; diagnosis; dyspnea; edema; problem solving case; SLE

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