Skip to content
TwitterFacebookInstagramRss
Emergency Medicine Cases Logo Emergency Medicine Cases Logo Emergency Medicine Cases Logo
  • Home
  • Podcasts
    • Main Episodes
    • EM Quick Hits
    • Best Case Ever
    • Journal Jam
  • Blogs
    • ECG Cases
    • Journal Club
    • EMC GEM
    • CritCases
    • Waiting to Be Seen
    • BEEM Cases
  • Summaries
    • EMC Cases Summaries
    • Résumés EM Cases
    • Rapid Reviews Videos
    • EM Cases Digest
  • Videos
    • EM Cases Summit
    • Rapid Reviews
    • POCUS Cases
    • EMU 365
  • Quiz Vault
  • About
    • Our Team
    • Advisory Board
    • Experts Bios
    • Newsletter Sign Up
    • EM Cases Learning System
    • Courses & Summit
    • CME Credits
    • FOAMed
    • Feedback
    • Conflict of Interest Policy
  • Home
  • Podcasts
    • Main Episodes
    • EM Quick Hits
    • Best Case Ever
    • Journal Jam
  • Blogs
    • ECG Cases
    • Journal Club
    • EMC GEM
    • CritCases
    • Waiting to Be Seen
    • BEEM Cases
  • Summaries
    • EMC Cases Summaries
    • Résumés EM Cases
    • Rapid Reviews Videos
    • EM Cases Digest
  • Videos
    • EM Cases Summit
    • Rapid Reviews
    • POCUS Cases
    • EMU 365
  • Quiz Vault
  • About
    • Our Team
    • Advisory Board
    • Experts Bios
    • Newsletter Sign Up
    • EM Cases Learning System
    • Courses & Summit
    • CME Credits
    • FOAMed
    • Feedback
    • Conflict of Interest Policy
Previous Next

A 72-year-old woman with a history of diabetes, hypertension and dyslipidemia presents to the ED with dyspnea and weakness. Medications include amlodipine, metformin and atorvastatin. Physical exam is notable for a HR of 88, RR 24, BP 185/95, O2 saturation of 91% on room air. There are bilateral crackles, with an elevated JVP and peripheral edema to the lower extremities. Blood work shows a newly elevated creatinine of 275 µmol/L. Electrolytes and venous blood gas are normal. A portable chest x-ray demonstrates pulmonary edema. In addition to providing supplemental oxygen and nitroglycerine, you decide to treat with furosemide, as the patient has an acute kidney injury with associated pulmonary edema and adequate perfusion. What dose should you use?

By Elisha Targonsky|2021-01-05T09:05:37-05:00January 5th, 2021|Comments Off on A 72-year-old woman with a history of diabetes, hypertension and dyslipidemia presents to the ED with dyspnea and weakness. Medications include amlodipine, metformin and atorvastatin. Physical exam is notable for a HR of 88, RR 24, BP 185/95, O2 saturation of 91% on room air. There are bilateral crackles, with an elevated JVP and peripheral edema to the lower extremities. Blood work shows a newly elevated creatinine of 275 µmol/L. Electrolytes and venous blood gas are normal. A portable chest x-ray demonstrates pulmonary edema. In addition to providing supplemental oxygen and nitroglycerine, you decide to treat with furosemide, as the patient has an acute kidney injury with associated pulmonary edema and adequate perfusion. What dose should you use?

FacebookTwitterLinkedInEmail

About the Author: Elisha Targonsky

Subscribe

Subscribe to Podcast

Apple PodcastsGoogle PodcastsAndroidby Email

© 2022 Emergency Medicine Cases | Privacy Policy | Terms & Conditions | Contact
TwitterFacebookInstagramRss
Page load link
Go to Top