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 Case #8 Congestive heart failing! How aggressive can you be?
A 58 y/o female with a history of CHF presents with acute dyspnea. She is hypertensive 190/120, and has rales up both lung fields. She is on 100% Non-rebreather, has a respiratory rate of 38, and her saturation is 94%. CXR confirms pulmonary edema. You initiate treatment with sublingual nitroglycerine (3 doses) and IV lasix. The patient responds very little, so you initiate a drip of nitroglycerin and Bipap.
1. How much nitroglycerine can you give?
Click here for answers and to respond
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Previous Articles
Pediatric (12/12/07)
Neurologic (12/05/07)
Trauma (11/27/07)
Trauma (11/20/07)
Neurologic (11/13/07)
Pediatric (11/12/07)
Cardiovascular (10/29/07)
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