![]() ![]() Titrate according to BP but only if systolic BP >90mmHg (see local dosing charts for details). If further diuretic required - refer immediately to senior medical staff. Give: furosemide IV 50mg (or in patients already receiving oral diuretics, give, intravenously, double the patient's normal oral dose). Do not give opiate if patient is drowsy, exhausted or hypotensive. Consider slow titrated small increments of intravenous diamorphine or morphine if associated chest pain or severe distress.Sit patient upright and give 100% oxygen via facemask unless CO 2 retention (see Guidelines for blood gas analysis for interpretation of blood gases).If in fast AF / flutter, see Atrial fibrillation or flutter- recent onset.Measure blood gases, record ECG and CXR and pulse oximetry.If critical cardiac ischaemia / infarction, see Initial management of STEMI presenting to A&E.atrial fibrillation (AF), other tachycardias or bradycardia, critical cardiac ischaemia, valvular disease or renal artery stenosis. It also may be secondary to another cause e.g. Management of Acute Pulmonary Oedema / Heart Failure IntroductionĪcute pulmonary oedema may be the first presentation of heart failure or an exacerbation of existing known heart failure. Exercise caution in the use of the clinical guideline. Please note: this guideline has exceeded its review date and is currently under review by specialists. ![]()
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