Refractory End Stages Heart Failure | Medical Algorithm

Are you evaluating a patient with end-stage heart failure who is receiving inotropes in the hospital?

Yes

Has the treatment of the heart failure been optimized?

Yes

Has therapy for all other reversible comorbid conditions been optimized?

Yes

Have repeated efforts to discontinue inotropes resulted in significant clinical deterioration within minutes or hours?

Yes

Does a skilled clinician conclude that the patient is unable to survive inotrope withdrawal?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings indicating inotrope dependence

Is the patient inotrope dependent?

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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
- 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

Criteria for Inotrope Dependence | Refractory End-Stage Heart Failure

Purpose: To determine if a patient with end-stage heart failure meets the criteria of Hershberger et al for inotrope dependence.

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