HEART FAILURE-PULMONARY OEDEMA

SUMMARY

1. Patient should be sitting with legs dangling, if possible, to decrease venous return.
2. Give 100% O2, morphine (to decrease anxiety & decrease vasoconstriction).
3. Frusemide: causes venodilation even before diuresis.
4. IV nitroglycerine/nitroprusside: if systolic BP is > 100mmHg.
5. Consider dobutamine if systolic BP < 90mmHg.
6. Aminophylline is rarely used to increase respiratory muscle function.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].