Heart failure

Question 1

Step 1

Answer 1

Furosemide- for retention and congestive symptoms

Question 2

Step 2- HFrEF

Answer 2

ACEi + B Blocker +/- Spironolactone

Question 3

Step 3

Answer 3

ARB if not tolerating

Question 4

Step 4

Answer 4

Exercise rehab, manage comorbidities

Question 5

Diuretics

Answer 5

Reduce signs of overload

Question 6

ACEi, ARB, MRA

Answer 6

Decrease sympathetic outputs= vasodilation, decrease retention and increase bradykinin

Question 7

B Blocker

Answer 7

Decrease remodelling and increase systolic function