A 65-year-old woman presents with acute onset shortness of breath at rest, orthopnoea and pink frothy sputum. She has severe hypertension at 210/110 m...

Question

A 65-year-old woman presents with acute onset shortness of breath at rest, orthopnoea and pink frothy sputum. She has severe hypertension at 210/110 mmHg and bilateral crackles to mid-zones. There is no hypotension. What is the most appropriate initial pharmacological management in addition to high-flow oxygen and non-invasive ventilation?

Accepted Answer

Sublingual and intravenous glyceryl trinitrate with IV frusemide

Answer

Immediate IV fluid bolus 1 L

Answer

High-dose IV morphine alone

Answer

Commence beta blocker infusion for rate control

Answer

Oral ACE inhibitor only

au-acem MCQ (SBA): Acute pulmonary oedema - initial management