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72-year-old with heart failure. Sudden dyspnea, pink frothy sputum, SpO₂ 88% on room air, BP 168/96, HR 118.
What do you do first?
72 y/o, heart failure. Sudden dyspnea, pink frothy sputum, SpO₂ 88%. What do you do first?
Acute pulmonary edema. Upright + high-flow O₂ first to drop preload and treat hypoxemia.
Pink frothy sputum = fluid overload from left-sided failure.
Sit upright, O₂, call provider, anticipate IV furosemide.
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