Case 3
A 76-year-old woman presents with acute onset shortness of breath a few hours after going to bed. Her family tell you that this is the second time that she has presented in this way and that on each occasion the family were called in to be told that she ‘may not survive the night’.
She has a history of MI many years ago and now her only problem is hypertension for which she takes several different medicines.
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Question 1 of 3
1. Question
Which of the following classical clinical findings might you expect to find in this lady with acute CPO? (Select six from the list)
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Question 2 of 3
2. Question
The ABG analysis is as follows:
ABG on 15L O2
pH 7.29
pO2 9.9
pCO2 3.5
Bicarbonate 16
Lactate 2Her CXR is shown. Click on the image to see a larger version:
Which of the following treatment options are required? (Select all that apply)
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Question 3 of 3
3. Question
Despite both low dose furosemide and morphine, CPAP at 5cm H2O and an IV nitrate infusion at 10 mcg/min there is no clinical improvement.
What would you do next?
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