125 Acute Cardiogenic Pulonary Edema

Question 1

What are the INDICATIONS for the ACPE medical directive

Answer 1

Moderate to severe respiratory distress
Suspected ACPE

Question 2

What are the Conditions for Nitroglycerin in the ACPE medical directive

Answer 2

18 years old
HR 60-159
BP normotensive

Question 3

What are the Contraindications for Nitroglycerin in the ACPE medical directive

Answer 3

Allergy
Phosphodiasterase use within 48 hours
SBP drop by 1/3 or more

Question 4

What is the dose Nitroglycerin in the ACPE medical directive if the BP is under 140

Answer 4

IV/ Hx: 0.3/ 0.4

Question 5

What is the dose Nitroglycerin in the ACPE medical directive if the BP is above 140 WITHOUT IV/HX

Answer 5

0.3 / 0.4

Question 6

What is the dose Nitroglycerin in the ACPE medical directive if the BP is above 140 WITH IV/HX

Answer 6

0.6 / 0.8

Question 7

How MANY doses are given of Nitroglycerin in the ACPE medical directive

Answer 7

6

Question 8

What is the interval between doses for Nitroglycerin in the ACPE medical directive

Answer 8

5 minutes

Question 9

What is the route of administration for Nitroglycerin in the ACPE medical directive

Answer 9

SL

Question 10

What type of medication is Nitroglycerin

Answer 10

Anti-anginal

Question 11

How is Nitro beneficial for ACPE

Answer 11

It relaxes the vasculature, and decreases afterload for the lungs. This decreases the pressure in the lungs and fluid returns to the vasculature.

Question 12

What causes ACPE?

Answer 12

Valvular disorders
Left-sided Heart Failure