Paramedic National Registry Practice

The standard treatment for congestive heart failure (CHF) focuses on relieving symptoms, improving quality of life, and reducing the workload on the heart. In this context, the correct approach involves the use of medications that target fluid overload, blood pressure, and cardiac function. Nitroglycerin is often administered to reduce preload by decreasing venous return to the heart, which alleviates symptoms of congestion and helps improve the patient's comfort. Lasix (furosemide) is a diuretic that effectively reduces fluid retention, thereby alleviating edema and decreasing the volume that the heart has to pump, which is crucial in managing CHF. Magnesium sulfate, while not a first-line treatment, can be beneficial, especially in patients with concurrent electrolyte imbalances, which can exacerbate heart issues and lead to arrhythmias. Overall, the combination of nitroglycerin and Lasix directly targets the hemodynamic challenges faced by patients with CHF, making option B the best choice for treating this condition.