ACUTE DECOMPENSATED HEART FAILURE Flashcards
1
Q
how is ADHF characterized?
A
development of acute dyspnea, elevated intracardiac filling pressures, w/o pulmonary edema
2
Q
managing ADHF?
A
supplemental oxygen
an IV dose of furosemide
3
Q
considerations with giving diuretics?
A
may need multiple doses or higher consecutive doses
if a patient with CKD, may need a higher dose
need to follow renal function and electrolytes
4
Q
direct vasodilators used in managing ADHF?
A
nitroglycerin, causes headache and hypotension
nitroprusside, severe hypertension, acute mitral regurgitation, acute aortic regurgitation
5
Q
what is the most important complication of nitroprusside?
A
cyanide toxicity
6
Q
ADHF is used for?
A
diuresis respiratory support like oxygen, NIMV, ETT afterload/preload assess for myocardial damage medication management
