1 / 1

Acute Heart Failure

Respiratory distress? Pulmonary edema?. Acute Heart Failure. Y. Morphine IV CPAP 5-7,5 cmH 2 O, BiPAP if resp. acidosis. Treat underlying arrhythmias, etiologies. Acute Heart Failure +ACS See guidelines ACS, Consider transfer, IABP. SBP > 140mmHg HyperT AHF- PULMONARY EDEMA.

fredrica-justin
Download Presentation

Acute Heart Failure

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Respiratory distress? Pulmonary edema? Acute Heart Failure Y • Morphine IV • CPAP 5-7,5 cmH2O, BiPAP if resp. acidosis Treat underlying arrhythmias, etiologies Acute Heart Failure +ACS See guidelines ACS, Consider transfer, IABP SBP > 140mmHg HyperT AHF- PULMONARY EDEMA SBP 90-140 mmHg ACUTE DECOMPENSATED HF SBP < 90mmHg+hypoperfusion CARDIOGENIC SHOCK Echocardio • VASODILATORS • Isosorbide dinitrate • Nitroglycerine • Nitroprusside (not in ACS) FLUID Challenge if possible • INOTROPICS: • Dobutamine, Dopamine 2-5γ • Milrinone • Levosimendan (not if SBP<85mmHg) Volume overload? Echocardio Y Echocardio, PAC • DIURETICS: • Furosemide or Bumetanide • Consider IV infusion in severe overload • Diuretic resistance: combination R/ or UF N N Refractory shock, hypotension? Y Good clinicalresponse? • -Consider IABP, transfer • -VASOCONSTRICTORS: • Dopamine>5γor • Adrenaline, Noradrenaline N Y Start PO medication

More Related