Initial management of acute decompensated heart failure

Описание к видео Initial management of acute decompensated heart failure

Recognize clinical presentation:
Dyspnea, orthopnea, S3, JVD, lung crackles, LE edema
Diagnostic studies: CXR, BNP

Evaluate clinical stability:
Respiratory failure → supplemental O2, NIPPV, intubation
Cardiogenic shock → dobutamine, milrinone

Improve symptoms (reduce preload):
IV diuretics (furosemide) +/- venodilator (nitroglycerine)
Balanced vasodilator (nitroprusside) if afterload reduction is also needed

Investigate precipitating factors:
EKG and troponin (ischemia, arrhythmia)
Bedside echocardiogram (valvular dysfunction)

Комментарии

Информация по комментариям в разработке