The patient is a 56 year old man who was brought in via EMS for severe respiratory distress. He is sitting straight up in bed, tripoding, diaphoretic with dinner plate eyes. The patient is able to convey that he thinks he might die. He was given one albuterol/atrovent nebulizer per EMS without relief. The patient is unable to provide any further history due to his severe respiratory distress. On exam he has accessory muscle use and has a prolonged expiratory phase to his breathing. Auscultation reveals coarse wheezing bilaterally. BP 220/152 P 130 R 35 T 98.2 O2 80% RA.
ACPE (cardiac asthma)
Very low EF
Nice case thanks
Rob
It’s time to give this valuable tool to your paramedics so they don’t deliver the wrong therapy such as albuterol.
Hi
B profile lungs + Low LV EF+ engorged IVC =cardiogenic pulmonary edema
thanks
Hi,
B profile bilaterale+Low LV EF of Diasytolic dysfunction+ engorged IVC+ cardiogenic pulmonary edema