Hx
CHF
Left ventricular failure
Tx
Nitroglycerin (NTG), either IV, sublingual or topical relieves the dyspnea and tachycardia associated with cargiogenic pulmonary edema by rapidly reducing preload
Several studies have shown that it works quicker than morphine or loop diuretics
Not for long-term management; only beneficial in acutely alleviating symptoms
Use cautiously in patients with hypotension
Beyond NTG, loop diuretics (furosemide) are the mainstay of therapy for decompensated heart failure and principally work by reducing total body volume
May give hydralazine in combination with an oral nitrate to African American men with heart failure