CCF Rx

CCF

Acute:

-three catagories
1)hemodynamically stable
2) hypotensive
3) hypertensive

in all types:

-Oxygen + supportive therapy

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Hemodynamically stable:

Nitroglycerine
Furosemide
Asprin + revascularization if indicated
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Hypotensive:

Inotropes ( sys bp 100~85: dobutamine, sys bp <  85: dopamine or noradrenaline - memtip: do BETTER(buta) mine - BP is "better" )
Asprin + revascularization if indicated
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Hypertensive:

Nitroglycerine
Beta blocker
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Mem tip:
furosemide, inotrope, b blocker.  - unique to each cases
shared by 2 cases - nitroglycerine, aspirin


Chronic:

-ACEI
-Beta blocker

optional: digoxin, furosemide