What is the pediatric CHF/pulmonary edema management directive?

• A. Lasix 40 mg IV
• B. CPAP 10 cmH2O
• C. Furosemide 20 mg
• D. Call for orders

Answer: (D)

In pediatric CHF and pulmonary edema, decisions about medications like diuretics or devices like CPAP must be guided by a physician’s orders. This condition requires careful assessment, weight-based dosing, and consideration of electrolyte balance, hydration status, and hemodynamics. Without explicit orders, starting a diuretic or applying CPAP could cause harm or worsen instability. Therefore, the correct directive is to call for orders so a clinician can authorize and tailor the treatment plan.