Diagnosis and treatment protocols for Pulmonary Oedema in Uganda
Uganda Clinical Guidelines 2023 · all from source →
General Adult
Diagnosis
Clinical Features
Severe dyspnoea, rapid breathing, breathlessness. Tachycardia, wheezing. Cough with frothy blood stained sputum.
Emergency Management
Acute Management
Prop up patient in sitting position. High concentration oxygen: start with 5 L/min, aim at SpO2 >95%.
Pharmacotherapy
Furosemide 40-80 mg IM or slow IV - Repeat prn up to 2 hourly according to response (Child: 0.5-1.5 mg/kg every 8-12 hours). Glyceryl trinitrate 500 microgram sublingually every 4-6 hours. Morphine 5-15 mg IM or 2-4 mg slow IV (Child: 0.1 mg/kg slow IV).
Digoxin
Digoxin loading dose IV 250 micrograms 3-4 times in the first 24 hours then maintenance dose of 125-250 micrograms daily. Do not give loading dose if patient had digoxin in past 14 days.
Clinical Tools