Congestive Heart Failure Signs Symptoms | Medical Algorithm

Are you evaluating a patient for heart failure in a prehospital setting?

Yes

Does the patient have a history of?

• rest dyspnea?

Yes

• orthopnea?

Yes

• paroxysmal nocturnal dyspnea?

Yes

• dyspnea on walking on level?

Yes

• dyspnea on climbing?

Yes

Findings on physical examination:

Heart rate

beats per minute

Jugular venous pressure

cm water

Is hepatomegaly present?

Yes

Is edema present?

Yes

Are basilar lung crackles present?

Yes

Are lung crackles present above the basilar segments?

Yes

Is wheezing present?

Yes

Is a third heart sound present?

Yes

Does the patient?

• have the hepatojugular reflex?

Yes

• have ECG changes (old AMI, nonspecific ST-T changes, arrhythmia, left ventricular hypertrophy)?

Yes

• cough at night?

Yes

• have a cardiac murmur?

Yes

• have sputum production or fever?

Yes

• have a history of previous AMI, arrhythmia or CHF?

Yes

• take medications for heart failure?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Points for history

Points for physical examination

Points for additional minor criteria

Total score

Congestive heart failure (CHF) is

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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

Modified Boston Criteria for Identifying Heart Failure During Prehospital Clinical Assessment

Purpose: To diagnose congestive heart failure (CHF) in a prehospital setting using a modification of the Boston criteria as reported by Prosen et al.

Evaluation

Results

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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