Acute pulmonary edema. with mention of heart disease NOS or heart failure
Conditions
Interventions
Intervention 1: In intervention group start treatment by o2 until o2Sat of patient >94% (minimum by 4 lit/min o2),plus Amp lasix 1 mgr/kg and Amp nitroglycerin 5 mic gr/min started and titrated 5 mic
Treatment - Drugs
In intervention group start treatment by o2 until o2Sat of patient >94% (minimum by 4 lit/min o2),plus Amp lasix 1 mgr/kg and Amp nitroglycerin 5 mic gr/min started and titrated 5 mic gr/min if patie
In control group start treatment by o2 until o2Sat of patient >94% (minimum by 4 lit/min o2),Amp lasix 1 mgr/kg and Amp nitroglycerin by 5 mi cgr/min started and titrated 5 mi cgr/min if patients bloo
Sponsors
Tehran university medical scince
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria:patient with acute pulmonary edema Exclusion criteria:presence of mgso4 side effects
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hospitalization duration. Timepoint: for 6 hours after trial initation. Method of measurement: Compare of hospitalization duration in two groups.;Dysrhythmia incidence that should be treat in ED. Timepoint: for 6 hours after trial initation. Method of measurement: Compare of demand to intubation in two groups.;Necessary for intubation. Timepoint: for 6 hours after trial initation. Method of measurement: Compare of incidence of dysrhytmia that demand treatment in two groups.;Improvement both SaO2 and dyspnea score(verbal quantitative scale) in 6 hours after treatment initiation. Timepoint: for 6 hours after trial initation. Method of measurement: Compare of Sao2 improvement more than 94% and dyspnea score (by verbal quantitative scale pathway) for 6 hours after treatment initiation in two groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| Decrease respiratory rate under 8/min. Timepoint: for 6 hours from tretment initation. Method of measurement: Account respiratory rate in 1 minute.;Diminish of deep tendon reflex. Timepoint: for 6 hours after treatment initation. Method of measurement: Monitoring of deep tendon reflex. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr.Seyyed Mahdi Zia Ziabari M.D
Tehran university medical scince
Outcome results
None listed