Right side HF goes into
Systemic circulation
Right side HF signs
Peripheral Edema
Hepatomegaly
JVD
Nausea
Left side HF goes into
lungs
Left side HF signs
SOB Dyspnea S3 Crackles Pulmonary Edema
What is BNP?
A natural vasodilator and diuretic
When is BNP released?
Overstretched ventricle
What is the EF in HF
Usually below 40
What is HF?
When the heart can no longer produce sufficient CO at normal filling pressures to meet metabolic demands
How to reduce preload?
Nitroglycerin
Diuertics
Legs dangle
How to reduce afterload?
ACE inhibitors
Nitroprusside
Nesiritide
How to create positive inotropy?
Dobutamine
Lower dose dopamine
What should oxygen sats be?
> 90%