Category Archives: Acute Cardiogenic Pulmonary Edema

Question: I had a question in regards to why do we need to establish an IV in a patient with suspected pulmonary edema? If they fit this protocol, they will most likely have crackles, and therefore if we happen to bottom out their pressure with nitro sprays, we will not be able to bolus due to the patient having crackles. Thanks in advance.

Question: In regard to the new Acute Pulmonary Edema protocol and the confusion surrounding it. Are we really giving 0.6 to 0.8 mg of Nitroglycerin SL to a patient with no IV and an Hx of use and a SBP of >140 mmHg?

Question: Why was Lasix removed from the pre-hospital CHF/Pulmonary Edema protocol, when the first thing an ER Physician orders on arrival at the ER is Lasix?

Question: Nitro Protocol for CHF the new protocol diagram says... Consider nitroglycerin: ≥140 mmHg, IV or Hx 0.6 or 0.8 mg. I have been told the diagram is wrong and I cannot double dose unless I have an IV regardless of history. If this true can you fix the diagram and issue a clear concise overview of this protocol?

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