Pulmonary Edema

Pulmonary edema is fluid accumulation in the lungs that interferes with oxygen uptake. Acute pulmonary edema is a medical emergency, most often caused by heart failure.

Table of Contents

Quick Facts

  • ICD-10: J81
  • Most common cause: Heart failure
  • Severity: Often emergency

When to Call 911

Acute pulmonary edema is an emergency. Call 911 for:
  • Severe breathlessness, especially lying down
  • Coughing up pink, frothy sputum
  • Wheezing or gasping
  • Cold, clammy skin
  • Rapid, irregular heartbeat
  • Severe anxiety or sense of impending doom

Causes

Cardiogenic (most common)

  • Heart failure
  • Heart attack
  • Severe heart valve disease
  • Hypertensive emergency

Non-cardiogenic

  • Acute respiratory distress syndrome (ARDS)
  • Severe pneumonia
  • High-altitude exposure
  • Near-drowning
  • Drug overdose or reaction

Treatment

  • Oxygen and ventilation support
  • Diuretics (furosemide) to remove excess fluid
  • Nitrates for blood pressure control and reducing fluid in lungs
  • Treatment of the underlying cause
  • Hospitalization, often in intensive care for severe cases
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American Heart Association. Heart Failure Resources.