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MediumCardiologyAcute pulmonary oedema - initial managementau-acemau-racpau-amc

A 65-year-old woman presents with acute onset shortness of breath at rest, orthopnoea and pink frothy sputum. She has severe hypertension at 210/110 mmHg and bilateral crackles to mid-zones. There is no hypotension. What is the most appropriate initial pharmacological management in addition to high-flow oxygen and non-invasive ventilation?

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