An Unresponsive 62-Year-Old Man Is Brought to the Emergency Department

An unresponsive 62-year-old man is brought to the emergency department after sustaining multiple injuries in a major motor vehicle accident.  He is obtunded but responds to painful stimuli.  His blood pressure is 160/90 mm Hg, pulse is 72/min, and respirations are 10/min.  A few hours after initial treatment and stabilization, he develops severe tachypnea and decreased oxygenation.  His chest x-ray shows evidence of pulmonary edema.  He is rapidly intubated and given oxygen but acutely worsens and dies a few hours later, despite aggressive measures.  Which of the following drugs could have caused this patient's condition?

A) Chlorthalidone
B) Bumetanide
C) Spironolactone
D) Triamterene
E) Mannitol

Correct Answer:

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