Definition Pre-Hospital Management of Acute Heart Failure EKG, spot BNP. Non-Invasive Positive Pressure Ventilation (NIPPV) for any patient in acute pulmonary edema. Pharmacology is based on systolic blood pressure Pharmacologic Management of Acute Heart Failure (in addition to NIPPV) SBP > 140 mm Hg: nitrates SBP 100-140 mm Hg: nitrates + furosemide SBP < 100 mm […]