- Supplemental Oxygen
- Endotracheal intubation with mechanical ventilation is indicated if instability
- Cardiac monitoring
- pulse oximetry
- 12-lead electrocardiogram
- Intravenous access
- Frequent vital sign assessments.
- Chest radiography
- Complete blood cell count
- Electrolytes
- BNP level
- Cardiac markers
Acute Pulmonary Edema
- Intravenous diuretics, diuresis can begin 10 to 15 min after intravenous furosemide. If urine output is inadequate in 20 to 30 min, the diuretic dose is increased and repeated.
- Furosemide DoseNo prior use: 40 mg IVPIf prior use: Double last 24-h usage (range, 80–180 mg)If no effect by 20–30 mins: re-double dose