pulmonary edema:

main manifestation: severe dyspnea with dry cough, Intense sweating, irritable, severe hypertension

basic treatment in emergency room till dialysis begins:

  • o2 therapy in high concentration
  • Lasix high dose iv to decrease the pulmonary edema, even if the patient have anurea
  • morphine to promote pt relaxation and enhance pulmonary ventilation
  • do not give anti hypertensive drugs, this to avoid pt hypotension when dialysis startedmain treatment is by fluid removal by dialysis, it is good idea to use UF profile or set high UFR
  • pt should improve within 2 hrs
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