Management Of Acute HF Flashcards Preview

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Flashcards in Management Of Acute HF Deck (11):
1

Step 2

Give 100% oxygen unless there is a pre-existing lung condition

2

Step 3

Get IV access, monitor with an ECG and treat any arrythmias

3

Step 4

Do investigations while continuing treatment(your looking for PO). I.e. Erect CXR effusion of costophrenic angles and shadowing, U+E, troponin, ECG, ABGs

4

Step 5

Give IV diamorphine 1.25-5.0mg slowly (caution with COPD and liver failure patients)

5

Step 6

Furosemide 40-80mg IV and more if renal failure

6

Step 7

Give GTN times 2 spray (don't give if syst BP is less than 90)

7

Step 8

Any other investigations, examination and history

8

Step 9

If systolic BP above 100 you should start nitrate infusion

9

If patient continues to deteriorate?

Second dose of furosemide, increase nitrate infusion as long as syst BP above 100, give CPAP ventilator

10

If systolic BP falls below 100 what do you do?

Transfer to ICU as a cardiogenic shock patient

11

What is the first thing to do?

Sit the patient upright