Pulmonary Edema/CHF
General adult Assessment
Continue Assessment
Go to General Adult Assessment
Patient in position of comfort
No
Airway & ventilation
adequate?
Ventilation Management
Continue Assessment
Go to Ventilation Management
Yes
OXYGEN Keep SpO₂ >94%
Vascular Access
Continue Assessment
Go to Vascular Access
ETCO₂ monitoring
Consider CPAP
Continue Assessment
Go to CPAP
12-Lead ECG
BP re-assessment
Hypotensive
SBP <100 mmHg
Normotensive
SBP >100 mmHg
Hypertensive
DBP >100 mmHg
Signs of
cardiogenic shock?
NITROGLYCERIN
0.4 mg SL;
may repeat q 5 min as
long as HR >60 and
SYSTOLIC BP >100 mmHg
NITROGLYCERIN
1.6 mg SL;
may repeat q 5 min for
DIASTOLIC BP >100 mmHg
Yes
DOPAMINE
5-20 mcg/kg/min; titrate to
SYSTOLIC BP >100 mmHg
Continue General adult Assessment
Continue Assessment
Go to General Adult Assessment