winterallsummer Posted November 25, 2015 Share Posted November 25, 2015 There is a unique subset of patients presenting to the hospital with acute CHF exacerbation that I wanted to seek everyone's opinion on. I am not talking about the relatively healthy patients whom will do well with diuresis, BP control and go home in a couple days. Nor am I talking about the crashing patients who need NG drip and NIV or intubation and are ICU bound. What are you all doing for these in between patients who aren't going to the ICU and thus can't get NIV or NG drips? And who happen to have a Cr somewhere between 1.3 and 2.0? Aggressive or conservative diuresis? Continuing ACEi? Anyone using NG tabs or NG paste or isordil? Hydralazine? Early PT? And when/if the Cr up trends are you backing off on diuresis or holding course? Any articles cited as well as anecdotal practice appreciated. Link to comment Share on other sites More sharing options...
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