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Heart Failure in Adults Acute Pulmonary Edema Alogithm PDF
Heart Failure in Adults Acute Pulmonary Edema Alogithm PDF
Heart Failure in Adults Acute Pulmonary Edema Alogithm PDF
36
Acute pulmonary
edema
37
38
39
SBP>160 and/or
HR>100
SBP 100-160
SBP<100
42
See Emergent
Management algorithm,
box #28, Assess blood
pressure, perfusion and
volume status
40
Consider IV
beta-blocker
43
41
Volume
overload?
Yes
Loop diuretic, IV
bolus, consider IV
infusion
A
No
45
Symptoms
improved?
44
Nitroglycerin SL or drip
47
46
Yes
Stabilized?
No
Out of guideline
Consider consultation:
Acute coronary syndrome
Myocarditis
Uncontrolled hypertension
Valvular insufficiency
Non-cardiac etiologies
Yes
No
52
48
51
Yes
49
ED observation
or short stay
admission?
Other causes?
No
No
Yes
50
53
54
Other IV therapies
having greater risk:
Morphine sulfate
Milrinone
Dobutamine
Consider emergent
imaging and/or
hemodynamic
monitoring
56
55
Back to algorithm
box #46,
Stabilized?
Yes
Symptom
relief?
No
58
57
No
Volume overload,
refractory to initial
therapy?
Yes
Out of guideline
Consider consultation:
Ultrafiltration
Hemodialysis
Return to main
algorithm box #6,
Initiate HF
Management