A 72-year-old man with hypertension, type 2 diabetes, coronary artery disease, and chronic kidney disease (eGFR 42 mL/min) presents with 3 days of worsening shortness of breath, orthopnea, and difficulty lying flat. He has gained 3 kg in the past week. He denies chest pain. Vitals: BP 162/94 mmHg, HR 112/min, RR 28/min, O2 saturation 91% on room air, temperature 36.8°C Examination: crackles at both lung bases, elevated jugular venous pressure, bilateral pitting edema, S3 gallop ECG: sinus tachycardia Chest X-ray: pulmonary edema Labs: BNP significantly elevated, creatinine 2.1 mg/dL (baseline 1.7)
Question 1 of 11
Which one of the following is the most appropriate initial treatment in the emergency department?
Select 1. (0 / 1 selected)
Tip: right-click an answer (or press and hold on a phone) to strike it out. Drag over the question text to highlight it.