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Management: acute heart failure

Pre-Hospital Management of Acute Heart Failure

EKG, spot BNP.Non-Invasive Positive Pressure Ventilation (NIPPV) for any patient in acute pulmonary edema.

Pharmacology is based on systolic blood pressure

Pharmacologic Management of Acute Heart Failure (in addition to NIPPV)

  • SBP > 140 mm Hg: nitrates
  • SBP 100-140 mm Hg: nitrates + furosemide
  • SBP < 100 mm Hg: ionotropic support
  • Signs of ACS: ACS management