A 72-year-old man with severe breathlessness, pink frothy sputum, crackles to mid zones and BP 190/110 mmHg is brought to the emergency department. Ox...

Question

A 72-year-old man with severe breathlessness, pink frothy sputum, crackles to mid zones and BP 190/110 mmHg is brought to the emergency department. Oxygen saturation is 88% on air. What is the single most appropriate immediate management step?

Accepted Answer

High-flow oxygen, sit upright, IV Furosemide and consider nitrates

Answer

Give a large IV fluid bolus

Answer

Immediate thrombolysis

Answer

Start long-term ACE inhibitor only

Answer

Arrange routine echocardiogram and discharge

uk-plab-1 MCQ (SBA): Acute pulmonary oedema

A 72-year-old man with severe breathlessness, pink frothy sputum, crackles to mid zones and BP 190/110 mmHg is brought to the emergency department. Oxygen saturation is 88% on air. What is the single most appropriate immediate management step?