A 67-year-old has sudden severe dyspnoea with frothy sputum. BP 224/118, SpO2 78%, diffuse crackles, and ultrasound shows B-lines with poor LV

Question

A 67-year-old has sudden severe dyspnoea with frothy sputum. BP 224/118, SpO2 78%, diffuse crackles, and ultrasound shows B-lines with poor LV function. What is the most appropriate next step?

Accepted Answer

Start non-invasive ventilation and titrated nitrates while monitoring closely

Answer

Treat with inhaled salbutamol as the main therapy

Answer

Use oral diuretics and discharge if urine output occurs

Answer

Give large-volume crystalloid and observe the blood pressure

Answer

Delay treatment until troponin returns

Sympathetic crashing acute pulmonary oedema — RCPSC EM MCQ

A 67-year-old has sudden severe dyspnoea with frothy sputum. BP 224/118, SpO2 78%, diffuse crackles, and ultrasound shows B-lines with poor LV function. What is the most appropriate next step?