Download Acute Decompensated Heart Failure

Acute Decompensated
Heart Failure
Jo E. Rodgers and Brent N. Reed
LEARNING OBJECTIVES
15
On completion of the chapter, the reader will be able to:
1
Discuss the epidemiology of acute decompensated heart failure, including its prevalence and impact on healthcare expenditures.
2
List common precipitating factors for acute decompensated heart failure as well as baseline predictors of morbidity and mortality.
3
Compare and contrast the signs and symptoms of acute decompensated heart failure due to volume overload versus low
cardiac output.
4
Determine the appropriate management of oral heart failure medications taken prior to admission for a patient being hospitalized
with acute decompensated heart failure.
5
Devise a management plan for volume overload in a patient exhibiting diuretic resistance. Explain potential underlying etiologies of
diuretic resistance, and the mechanism by which the selected treatment approach will overcome it.
6
Compare and contrast the use of nesiritide, nitroglycerin, and sodium nitroprusside in the management of acute decompensated
heart failure.
7
Compare and contrast the use of dobutamine and milrinone in the management of acute decompensated heart failure.
8
Design a pharmacotherapy regimen for a patient with acute decompensated heart failure based on clinical presentation and/or
hemodynamic parameters.
9
Describe the role of advanced cardiovascular therapies in patients with refractory acute decompensated heart failure, including
temporary and durable mechanical circulatory support and cardiac transplantation.
10 Devise a plan, including recommendations for medication therapy, education, and monitoring, for a patient being discharged after
an episode of acute decompensated heart failure.