Assess the patient for degree of congestion and adequacy of perfusion.
For congestion: “LMNOP”
- Lasix IV w/ monitoring of UOP
- Morphine (decreases sx, is a venodilator, decreases afterload)
- Nitrates (Venodilator)
- Oxygen +/- noninvasive vent (decr sx, incr PaO2, no change in mortality)
- Position (Sitting up & legs dangling over side of bed leads to decrease preload)