Pulmonary Edema (Acute CHF)


Acute Pulmonary Edema (CHF), Hypertension:

START cPAP/BiPAP
 - Start PEEP 6-8; quickly titrate to PEEP 10-12
 - Start Nitroglycerin gtt (LOADING DOSE: 400 mcg/min for 2 min, then drop to 100 mcg/min & titrate it up as needed). Stay at bedside for these high dose for 10 min.

Consider Ativan

  1. Furosemide 0.5-1mg/kg IV
  2. Morphine 2-4mg IV
  3. Nitroglycerin:
  4. Nitroprusside 0.1-5mcg/kg/min IV
     
  5. Dobutamine 2-20mcg/kg/min IV
  6. Dopaminene 5-15mcg/kg/min IV
  7. Norepinephrine 2-4 mcg/min IV

 

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