A 68-year-old man arrives as ESI 2 with dyspnea and pink frothy sputum. BP 224/118, HR 122, RR 34, SpO2 82% on room air, diffuse crackles, and

Question

A 68-year-old man arrives as ESI 2 with dyspnea and pink frothy sputum. BP 224/118, HR 122, RR 34, SpO2 82% on room air, diffuse crackles, and bedside ultrasound shows B-lines. Which of the following is the most appropriate initial action?

Accepted Answer

Start noninvasive positive-pressure ventilation and IV nitroglycerin

Answer

Give 2 L normal saline

Answer

Order outpatient echocardiography

Answer

Give oral beta-blocker therapy

Answer

Administer broad-spectrum antibiotics as sole therapy

Hypertensive acute pulmonary edema — ABEM Board MCQ

A 68-year-old man arrives as ESI 2 with dyspnea and pink frothy sputum. BP 224/118, HR 122, RR 34, SpO2 82% on room air, diffuse crackles, and bedside ultrasound shows B-lines. Which of the following is the most appropriate initial action?