Congestive Heart Failure

  • Consider Nitroglyerin 0.4 mg SL if SBP ≥ 90 if patient has not taken any erectile dysfunction drugs: sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis) in the previous 24- 72 hrs
  • Consider Lasix (furosemide) 0.5-1.0 mg/kg IV or Bumex (bumetanide) 1 mg IV
  • Consider Morphine Sulfate 1-5 mg slow x1
  • Consider CPAP if not improving with above measures and SBP ≥ 90
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