Paroxysmal nocturnal dyspnea
Posted by dkwinter

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