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with CKD and heart failure
PRE-DISCHARGE OPTIMISATION OF THE ACUTE DECOMPENSATED HEART FAILURE PATIENT
Dr Matthew Barrett, Consultant Cardiologist discusses the management of acute decompensated heart failure through various patient cases, with a particular focus on the 72 -hour period preceding discharge.
PATIENT CASE STUDIES
Find out more about iron deficiency in chronic kidney disease and heart failure with these guides and series of patient cases studies
PART 1 OF 3: DAY 0 - PRESENTATION AT
THE EMERGENCY DEPARTMENT
Prof. McDonald introduces the clinical case history at Day 0, presentation at the emergency department. In this section the panel discuss the importance of IV diuretics at the outset introducing the concept, “door-to-furosemide time” and “furosemide-to-decongestion time”. The panel discuss clinical considerations in congestion management and the importance of measuring a clinical response early on.
Visit the webinars and events page to watch what happens in part 2 and 3.
Information correct at the time of recording i.e November 2022.
PART 2 OF 3 : DAY 3 IN HOSPITAL -
RECOVERING FROM ACUTE
DECOMPENSTAED HEART FAILURE
In this section the panel discuss their individual approach to the initiation and optimisation of the four guideline directed medical therapies. They also debate the role of CT coronary angiogram and cardiac MRIs in the patient’s management.
Information correct at the time of recording i.e November 2022.
PART 3 OF 3 : DAY 8 IN HOSPITAL -
GETTING THERE, CAN I GO HOME?
In the last stage of the patient’s hospital stay, the panel discuss the clinical importance of managing iron deficiency and why iron parameters should be assessed. They also discuss the need for self-care education pre-discharge and how the heart failure disease management support clinic system is essential for a comfortable discharge of a patient.
Information correct at the time of recording i.e November 2022.
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