management

Last reviewed 01/2018

  • sit the patient up
  • give oxygen
  • intravenous diuretics, for example frusemide 80 to 120mg, and diamorphine, 5 to 10mg iv

The most important form of management is prevention. When giving fluid therapy consider:

  • the elderly need less fluid
  • caution should be taken when giving blood transfusions - it may be better to use packed cells rather than whole blood. A small dose of frusemide - 20 mg - can be given with each or alternate units of blood
  • patient should be propped in bed at night