TOPIC18: acute heart failure ( medical treatment)

Question 1

treating stable compensated CHF

Answer 1

1) Vasodilators (nitrates)
2) Loop diuretics eg furosemide (act on the ascending loop of henle)
3) positive inotropes in case of hypoperfusion (dobutamin, NE, DA,EPI, Phenylephrine)
4) ACEi
5) beta blockers

Question 2

treating cardiogenic shock

Answer 2

1) fluid
2) inotropes (dobutamin, NE, DA,EPI, Phenylephrine) /vasopressors
3) intubation, mechanical ventillation
4) IABP (intra aortic balloon pump)

Question 3

treating pulmonary edema

Answer 3

1) morphine
2) loop diuretics eg furosemide
3) vasodilators if HTN
4) inotropes if hypoperfusion (dobutamin, NE, DA,EPI, Phenylephrine)

Question 4

treating isolated right HF

Answer 4

fluids and inotropes (dobutamin, NE, DA,EPI, Phenylephrine)

Question 5

treating ACS

Answer 5

revascularization/ reperfusion- PCI, CABG, thrombolysis