Question

A 68-year-old man presents with acute severe dyspnoea, frothy sputum and bilateral basal crackles. Blood pressure is 180/100 mmHg and he has reduced oxygen saturation. ECG shows ischaemic changes. What is the most appropriate immediate management for acute pulmonary oedema?

Accepted Answer

Intravenous frusemide and vasodilators (e.g., nitrates) with high-flow oxygen and consideration of non-invasive ventilation

Answer

High-dose intravenous fluids to improve preload

Answer

Oral diuretics only

Answer

Start long-term ACE inhibitor and review next week

Answer

Advise bed rest at home

Practice question

A 68-year-old man presents with acute severe dyspnoea, frothy sputum and bilateral basal crackles. Blood pressure is 180/100 mmHg and he has reduced oxygen saturation. ECG shows ischaemic changes. What is the most appropriate immediate management for acute pulmonary oedema?