Mabey Im a little comfused but since when does RIGHT sided failure cause PE???? Its left sided failure causing PE then the elevated PA presure caused Elevated RV presure and then right sided failure!! Also we can get into the discusion of systolic or diastolic CHF, but I belive the question is a little easier to answer. Seems to me that most of our patients do not have simple one track disease processes. I might be wrong but it seems to me if there is PE then the Airway will become irritated and can be inflamed. So sometimes it takes albuterol to even hear rales instead of wheezes. Yes we can harm patients in CHF by giving them Albuterol, but in combination with everything else (C-pap, dieretics, baging, O2, Nitro if HTN) I think it is a good option as long as you continue to think about what you are doing to the patients.
Just my thoughts... :wink:
Street~