A 59-year-old man with COPD presents with increasing breathlessness, orthopnoea and pink frothy sputum. He is tachypnoeic, with bilateral basal crackl...

Question

A 59-year-old man with COPD presents with increasing breathlessness, orthopnoea and pink frothy sputum. He is tachypnoeic, with bilateral basal crackles and oxygen saturation 86% on air. What is the most appropriate immediate management for his acute pulmonary oedema?

Accepted Answer

High-flow oxygen, intravenous Furosemide and nitrates, and consider non-invasive ventilation

Answer

Oral Furosemide and discharge

Answer

Start long-term ACE inhibitor only

Answer

Give intravenous fluids to improve blood pressure

Answer

Observe without treatment and repeat saturations in 4 hours

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

A 59-year-old man with COPD presents with increasing breathlessness, orthopnoea and pink frothy sputum. He is tachypnoeic, with bilateral basal crackles and oxygen saturation 86% on air. What is the most appropriate immediate management for his acute pulmonary oedema?