A 70-year-old woman presents with acute breathlessness, orthopnoea and frothy pink sputum. She is tachypnoeic at 32 breaths/min, BP 190/110 mmHg, puls...

Question

A 70-year-old woman presents with acute breathlessness, orthopnoea and frothy pink sputum. She is tachypnoeic at 32 breaths/min, BP 190/110 mmHg, pulse 120 bpm and oxygen saturation 88% on air. Bibasal crackles are heard on auscultation. Which is the most appropriate immediate pharmacological treatment?

Accepted Answer

Intravenous frusemide and intravenous nitrates

Answer

Intravenous fluids and blood transfusion

Answer

High-dose oral prednisolone

Answer

Oral amlodipine and aspirin

Answer

Subcutaneous low-molecular-weight heparin only

uk-plab-1 MCQ (SBA): Acute heart failure with pulmonary oedema