NURS 472 Lecture Notes - Lecture 8: Aortic Valve, Drinking, Milrinone
31 Jan 2018
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1/31/18 acute heart failure wrap up acute decompensation. If you ha(cid:448)e a hea(cid:396)t failu(cid:396)e pt de(cid:272)o(cid:373)pe(cid:374)sati(cid:374)g you (cid:449)a(cid:374)t to (cid:373)a(cid:374)age abc"s. Manage volume with sodium and fluid restriction. Sodium and fluid restriction is controversial--- only evidence is observational. Fluid restrictions often between 1500ml/ day and 2l/day. The blood that fills the heart during diastole) During diuresis watch bp, lung sounds, urine output, kidney functions, electrolytes. Titrate these drugs dependent on what cardiac output shows and titrate according to wedge pressure. If over diuresing patient paop would be less than 18. Dopamine catecholamine with dose dependent receptor, alpha-1, beta-1 and dopamine receptors. Dobutamine__> catecholamine that stimulates beta 1 receptors in heart. Nitroglycerine: mostly venous dilator; may be used for angina. & reflex tachycardia (cid:272)a(cid:374) gi(cid:448)e su(cid:271)li(cid:374)gual, topi(cid:272)ally o(cid:396) i(cid:374) d(cid:396)ip . Iabp is designed to increase coronary artery perfusion during diastole and decrease afterload leading to increased cardiac output aortic balloon pump.
