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