Diuretic Resistant Congestive Heart Failure - Medical Algorithm

Are you evaluating a patient with conges-tive heart failure who is not responding to diuretics as expected?

Yes

Is the patient compliant in taking the diuretics?

Yes

Has the patient restricted sodium intake as instructed?

Yes

Does the patient have gastrointestinal disorder that interferes with oral drug absorption?

Yes

Is the metabolism or excretion of diuretics increased because of a drug interaction?

Yes

Has the patient developed renal insufficiency?

Yes

Does the patient have intravascular volume depletion?

Yes

Is the patient's cardiac output low?

Yes

Is the person taking an ACE inhibitor, NSAID or other drug that reduces renal blood flow?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of possible causes for the poor response to the diuretic

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
- High-Output Heart Failure Associated with Arteriovenous Fistula, Hemangioma or Other Vascular Malformation
- Criteria for Distinguishing Acute Heart Failure from COPD or Asthma in Dyspneic Patient
Failure Handling, When To Refer
- Indications for Referral of Patient with Heart Failure to Cardiologist
- Recommended Triage Times for Patient with Heart Failure

Therapy

Options
- Treatment Outcome - B-Type Natriuretic Peptide - (BNP) and Severe Congestive Heart Failure (CHF)
Selection
Failure Handling And Therapy Escalation
Prevention
- Predicting Risk of Heart Failure in Framingham Study
- Two Minute Assessment of Hemodynamic Profile for Patient with Possible Heart Failure

Monitoring

Response To Therapy
Drug Levels
- Boston Criteria for Diagnosis Congestive Heart Failure
Complication Detection
Comorbid Conditions

Patient Concerns

Disability And Performance
- Cognitive Dysfunction in Heart Failure
Quality Of Life
- Cognitive Dysfunction in Heart Failure
- Discharge Criteria for Patient Hospitalized for Heart Failure
End-of-life, Palliative Care
- Criteria for Inotrope Dependence | Refractory End-Stage Heart Failure
- Prognostic Factors for Ambulatory Patient w/ Chronic Congestive Heart Failure

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

Causes of Diuretic Resistance in a Patient with Congestive Heart Failure

Purpose: To evaluate a patient with congestive heart failure for possible causes of diuretic resistance.

Evaluation

Results

Please fill out required fields.

MedicalAlgorithms.com APIs

Power Your Solutions with 5,000+ Automated Medical Analytics

Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10