USMLE/COMLEX - Step 2 - Decompensated heart failure
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What are symptoms of a decompensated heart failure?
Dyspnea, paroxysmal nocturnal dyspnea, and orthopnea
How will the patient present on physical examination?
Bibasilar crackles and hypoxemia
How is decompensated heart failure in case of normal or raised blood pressure and normal SaO2 managed?
- Supplemental O2
- IV loop diuretic
- IV nitroglycerin
How is decompensated heart failure managed if the patient’s blood pressure is low or signs of shock is present?
- Supplemental O2
- IV loop diuretic
- IV norepinephrine