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sarweston sarweston
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7 years ago
Upon admission to the ICU, a patient with a history of cor pulmonale will likely be exhibiting which of the following clinical manifestations of right heart failure? Select all that apply.
 
  A)
  Fine crackles throughout both lung fields
  B)
  +4 pitting edema in lower extremities
  C)
  Expectorating copious amounts of frothy, pink sputum
  D)
  Jugular vein distension
  E)
  Altered level of consciousness
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#1
7 years ago
Ans:
B, D, E

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Signs of right-sided HF include venous congestion (jugular vein distension), peripheral edema (+4 pitting edema in feet), shortness of breath, and productive cough. Altered level of consciousness may occur as the result of carbon dioxide retention. Fine crackles in all lung fields and frothy, pink sputum are common in left-sided HF.
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