Which of the following is used for management of this 65 year-old patient with respiratory distress. Bedside Echo shows an Ejection fraction of 45%.: (A) Lasix, Nitrates and Sacubitril- Valsaan, (B) Lasix, Norepinephrine and Sacubitril- Valsaan, (C) Lasix, Nitrates and morphine, (D) Lasix, ACEI and digoxin
Answer is C. The CXR shows evidence of bat wing oedema which is seen with Acute decompensated CHF which is managed by: L--> Lasix M-->Morphine N-->Nitrates O-->Oxygen P-->Positioning of the patient.