A patient rescued from a high-altitude mountain climb presents with a dry cough, dyspnea at rest, and crackles in the mid-lung fields. Which of the following is the priority intervention for this patient's suspected condition?
Administer supplemental oxygen and initiate descent.
The patient's presentation is classic for High-Altitude Pulmonary Edema (HAPE), a form of noncardiogenic pulmonary edema. The cornerstone and priority treatment for HAPE is improving oxygenation by administering supplemental oxygen and descending to a lower altitude. Furosemide is indicated for cardiogenic (fluid overload) pulmonary edema and is not a primary treatment for HAPE. Inhaled beta-agonists are used for bronchoconstriction, which is not the primary pathology of HAPE, and their routine use is not recommended for treatment. While the patient may eventually require intubation if their condition deteriorates, it is not the initial priority intervention based on the symptoms provided.
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What are the main symptoms of High Altitude Pulmonary Edema (HAPE)?
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BCEN CEN
Respiratory Emergencies
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