"More importantly for us in the UK it would be a case of giving a drug off licence and outside of prescription rights. You would lose your registration quicker that you could google a defence."
Well that sounds a bit harsh!
"whats really so bad about giving someone lasix when it turns out they have bi lat Pneumonia?
On the rare occasion that I give albuterol, I use both oxygen trees and place the patient on a NC @ 4 LPM along with the handheld nebulizer, since a tired CHFer spends a lot of time with the inhaler away from the face. My service is late into the CPAP game (we're implementing it in the next 30 days) but it seems to me that NTG and CPAP is the way to go. It should also go without saying that new onset pumonary edema should be treated as a possible ACS until proven otherwise.