Acute Decompensated Heart Failure with Pulmonary Edema

68-Year-Old Female — Orthopnoea, Bilateral Crackles, Pink Frothy Sputum

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About This Scenario

A 68-year-old woman wakes at 3am unable to lie flat with acute dyspnea and pink frothy sputum. You must manage acute pulmonary edema, differentiate from acute MI, and make critical decisions about oxygen therapy, medications, and hospital destination.