Acute heart failure.

Question 1

How do we manage acute left heart failure (need to know for FY1)?

Answer 1

Sit up
100% oxygen

IV access and give:
5-10mg morphine or 2.5-5 diamorphine
10mg metoclopramide
80-100mg furosemide

put in catheter
IV nitrate continuous infusion (can spray while being drawn up).
CPAP