Practice question

Answer the question and get instant feedback.

MediumEmergencyAcute decompensated heart failureau-acemau-amc

A 74-year-old man with known systolic heart failure presents with increasing dyspnoea, orthopnoea and peripheral oedema. On examination, he has elevated JVP, bibasal crackles and pitting oedema. BP is 105/65 mmHg, SpO2 91% on room air. What is the most appropriate initial pharmacological treatment in the emergency department?

Educational content. Not a substitute for clinical judgement or local policy.