Flashcards in Management Of Acute HF Deck (11):
Give 100% oxygen unless there is a pre-existing lung condition
Get IV access, monitor with an ECG and treat any arrythmias
Do investigations while continuing treatment(your looking for PO). I.e. Erect CXR effusion of costophrenic angles and shadowing, U+E, troponin, ECG, ABGs
Give IV diamorphine 1.25-5.0mg slowly (caution with COPD and liver failure patients)
Furosemide 40-80mg IV and more if renal failure
Give GTN times 2 spray (don't give if syst BP is less than 90)
Any other investigations, examination and history
If systolic BP above 100 you should start nitrate infusion
If patient continues to deteriorate?
Second dose of furosemide, increase nitrate infusion as long as syst BP above 100, give CPAP ventilator
If systolic BP falls below 100 what do you do?
Transfer to ICU as a cardiogenic shock patient