ADHF
ADHF
- Interprofessional care
- Continuous monitoring and assessment
- VS, O2 saturation, urinary output
- Hemodynamic monitoring if unstable
- Supplemental oxygen
- Mechanical ventilation if unstable
- High Fowler’s position
- Ultrafiltration (aquapheresis) for patients with volume overload and resistance to diuretics
- Circulatory assist devices for patients with deteriorating HF
- Intra-aortic balloon pump (IABP)
- Ventricular assist devices (VADs)
- Drug therapy
- Diuretics
- Decrease volume overload (preload)
- Loop diuretics – Furosemide (Lasix)
- Vasodilators
- Reduce circulating blood volume and improve coronary artery circulation
- IV nitroglycerin
- Sodium nitroprusside
- Nesiritide (Natrecor)
- Morphine
- Reduces preload and afterload
- Relieves dyspnea and anxiety
- Positive inotropes
- β-agonists (dopamine, dobutamine, norepinephrine [Levophed])
- Phosphodiesterase inhibitor (milrinone)
- Digitalis