A 65-year-old woman presents with increasing dyspnoea and orthopnoea. Chest X-ray shows pulmonary oedema. She has known HFrEF and is on guideline-dire...

Question

A 65-year-old woman presents with increasing dyspnoea and orthopnoea. Chest X-ray shows pulmonary oedema. She has known HFrEF and is on guideline-directed therapy. What is the most appropriate acute treatment in the emergency department?

Accepted Answer

Administer intravenous furosemide and provide supplemental oxygen, considering nitrates if blood pressure allows

Answer

Start large-volume intravenous fluids

Answer

Start high-dose beta-blocker

Answer

Withhold all diuretics to preserve renal function

Answer

Immediate intubation in all patients with pulmonary oedema

ca-mccqe1 MCQ (SBA): Acute decompensated heart failure

A 65-year-old woman presents with increasing dyspnoea and orthopnoea. Chest X-ray shows pulmonary oedema. She has known HFrEF and is on guideline-directed therapy. What is the most appropriate acute treatment in the emergency department?