Professional Documents
Culture Documents
• Excessive activity
In a study conducted by Ayus JC and colleagues in marathon
runners there were 18% of 605 marathon runners who
suffered pulmonary edema due to hyponatremia. This
mechanism concludes that as the activity increases
(marathon) occurs sodium expenditure through the sweat
water, so the body lacks sodium. After completion of the
activity of the body trying to do homeostasis, by secreting
ADH and there is water retention. The result is pulmonary
edema
SYMPTOMS AND SIGNS
• The typical symptoms of non-cardiogenic pulmonary
edema are:
• Beginning with chest pain (-)
• Shortness of breath suddenly
• Cold sweat
• Sitting position
• Restlessness
• Ronki is full
• If it happens so patient blood transfusion => TRALI
(Transfusion Related Acute Lung Injury)
•
DIAGNOSIS
• Diagnosis is confirmedclinical symptoms and examinations
caused by pulmonary edema and clinical symptoms of the
underlying disease.
• Investigations that may be helpful in determining the diagnosis
include: Chest radiographs showing diffuse bilateral infiltrations
without the presence of signs of cardiogenic pulmonary edema.
• Blood gas analysis may also support and also as a reference to the
treatment of pulmonary edema. In pulmonary edema the blood gas
(AGD) examination shows severe hypoxemia.
• CT Chest scans may also be helpful in diagnosis and may be used to
evaluate the improvement of pulmonary edema.
Electrocardiography to distinguish pulmonary edema from cardiac
abnormalities.
TREATMENT
• The first treatmentprimary disease that causes pulmonary edema.
• supportive treatmentmaintaining adequate oxygenation and
hemodynamic optimization
• Giving oxygen relieves and relieves chest pain
– oxygenation with ventilator, ie Positive end expiratorypressure (PEEP) 25-15
mmH2O can be used to prevent alveoli to collapse.
– extra corporeal membrane oxygenation (ECMO) uses an artificial external
membrane to help transport oxygen and remove CO2.