ICU Cases · Acute heart failure
Hot case — the bedside: flash pulmonary oedema
A CICM hot case on the flash pulmonary oedema — the immediate NIV, the GTN, the loop diuretic IV, and the identification of the cause (the ischaemia, the AF, the valvular).
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Prompt
At the bedside of a patient who has developed the acute breathlessness, the frothy sputum and the saturations of 75 per cent. Assess and manage the emergency.
Presentation
You are called to the bedside of a 72-year-old inpatient who has suddenly developed the severe breathlessness, the frothy pink sputum, the respiratory rate of 38, and the saturation of 75 per cent on a face mask. The blood pressure is 185/105.[1]
References2ShowHide
- [1]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [2]Marino PL The ICU Book. 4th edition, Lippincott Williams & Wilkins, 2014.