A 76-year-old woman with known ischaemic heart disease and hypertension presents with acute severe breathlessness. She is sitting upright, using acces...

Question

A 76-year-old woman with known ischaemic heart disease and hypertension presents with acute severe breathlessness. She is sitting upright, using accessory muscles, with bilateral basal crackles to the mid-zones, a respiratory rate of 30/min, blood pressure 170/100 mmHg and oxygen saturation 90% on air. What is the most appropriate immediate pharmacological treatment in addition to high-flow oxygen and sitting her upright?

Accepted Answer

Intravenous Frusemide 40 mg

Answer

Oral Frusemide 40 mg

Answer

Intravenous morphine 10 mg

Answer

Start Ramipril 5 mg orally

Answer

Start long-term Spironolactone 25 mg orally

MCQ (SBA): uk-plab-1