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Pulmonary Edema

WHAT YOU SHOULD KNOW:

Pulmonary edema is a buildup of fluid in the alveoli (air sacs) of your lungs. This may make it hard for you to breathe. Pulmonary edema may be life-threatening if your body is not able to get the oxygen it needs.

AFTER YOU LEAVE:

Medicines:

  • Diuretics: This medicine is given to remove excess fluid from around your lungs and decrease your blood pressure. You may urinate more often when you take this medicine.

  • Heart medicine: These medicines may be given to make your heartbeat stronger or more regular, or to lower your blood pressure.

  • Vasodilators: Vasodilators may improve blood flow by making the blood vessels in your heart and lungs wider. This may decrease the pressure in your blood vessels and improve your symptoms.

  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your primary healthcare provider or pulmonologist in 7 to 10 days or as directed:

You may need to return for more tests. Write down your questions so you remember to ask them during your visits.

Manage or prevent pulmonary edema:

  • Limit your liquids as directed: Follow your primary healthcare provider or pulmonologist's directions about how much liquid you should drink each day. Too much liquid can increase your risk for fluid buildup.

  • Weigh yourself daily: Weigh yourself at the same time every morning after you urinate, but before you eat. Weight gain can be a sign of extra fluid in your body.

  • Rest as needed: Return to activities slowly, and do more each day. You may have trouble breathing when you are lying down. Use foam wedges or elevate the head of your bed. This may help you breathe easier while you are resting or sleeping. Use a device that will tilt your whole body, or bend your body at the waist. The device should not bend your body at the upper back or neck.

  • Eat a variety of healthy foods: Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish. Healthy foods may decrease your symptoms and help you have more energy. Ask if you need to eat low-salt or low-fat foods.

  • Limit or avoid alcohol: You will need to limit the alcohol you drink, or avoid alcohol completely. Alcohol can worsen your symptoms and increase your blood pressure. If you have heart failure, alcohol can make it worse.

  • Do not smoke or take drugs: If you smoke, it is never too late to quit. Do not take street drugs, such as cocaine. Smoking and drugs can make your condition and symptoms worse. Ask for information if you need help quitting.

  • Climb to high altitudes slowly: Go slowly to allow your body to get used to a higher altitude. Ask your primary healthcare provider about the symptoms of high altitude pulmonary edema (HAPE). Ask what to do if you get these symptoms.

Contact your primary healthcare provider or pulmonologist if:

  • You have a fever.

  • You gain weight for no known reason.

  • You urinate more than usual.

  • You have new or increased swelling in your legs or feet.

  • You hear new or increased wheezing when you breathe.

  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You are breathing very fast, sweating, and feel confused.

  • You have chest pain or trouble breathing that is getting worse.

  • Your heart feels like it skips a beat or flutters.

  • You urinate very little or not at all.

  • You cough up pink, foamy sputum.

  • Your lips and nail beds are very white or blue.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Pulmonary Edema (Discharge Care)

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