Acute Cardiogenic Pulmonary Edema MD

Question 1

What are the indications for the Acute Cardiogenic Pulmonary Edema MD?

Answer 1

Moderate to severe respiratory distress;
AND
Suspected acute cardiogenic pulmonary edema.

Question 2

What are the conditions for Nitroglycerin under the ACPE MD?

Answer 2

Age ≥18 years
HR 60-159
SBP Normotension

Question 3

What are the contraindications for nitroglycerin under the ACPE MD?

Answer 3

• Allergy or sensitivity to nitrates.
• Phosphodiesterase inhibitor use within the previous 48 hours.
• SBP drops by one-third or more of its intial value after nitroglycerin is administered.

Question 4

What is the dose for nitro under the ACPE MD for a SBP ≥100 mmHg to <140 mmHg?

Answer 4

Need IV or Hx
SL
0.3 or 0.4 mg, max 0.4 mg.
Dosing interval of 5 minutes, max 6 doses.

Question 5

What is the nitro dose under the ACPE MD for a SBP ≥140 mmHg without IV or Hx?

Answer 5

SL
0.3 or 0.4 mg, max 0.4 mg.
Dosing interval 5 minutes, max 6 doses.

Question 6

What is the nitro dose under the ACPE MD for SBP ≥140 mmHg with IV or Hx?

Answer 6

SL
0.6 or 0.8 mg, max dose 0.8 mg.
Dosing interval of 5 minutes, max 6 doses.

Question 7

What is the clinical consideration for the ACPE MD?

Answer 7

IV condition applies only to PCPs authorized for PCP Autonomous IV.

Question 8

Under the ACPE MD, do you administer nitro or acquire a 12 lead first?

Answer 8

Administer nitro, then consider 12-lead ECG acquisition and interpretation.