TOPIC18: acute heart failure ( medical treatment) Flashcards
treating stable compensated CHF
1) Vasodilators (nitrates)
2) Loop diuretics eg furosemide (act on the ascending loop of henle)
3) positive inotropes in case of hypoperfusion (dobutamin, NE, DA,EPI, Phenylephrine)
4) ACEi
5) beta blockers
treating cardiogenic shock
1) fluid
2) inotropes (dobutamin, NE, DA,EPI, Phenylephrine) /vasopressors
3) intubation, mechanical ventillation
4) IABP (intra aortic balloon pump)
treating pulmonary edema
1) morphine
2) loop diuretics eg furosemide
3) vasodilators if HTN
4) inotropes if hypoperfusion (dobutamin, NE, DA,EPI, Phenylephrine)
treating isolated right HF
fluids and inotropes (dobutamin, NE, DA,EPI, Phenylephrine)
treating ACS
revascularization/ reperfusion- PCI, CABG, thrombolysis