Assessing severity, aetiology and precipitating factors

Assessing severity, aetiology and precipitating factors

 

Assessing clinical severity
Assess haemodynamic status;
Heart rate;
Blood pressure;
Respiratory rate;
Pulse oximetry;
Clinical evidence of fluid overload or pulmonary oedema;and
Conscious level

 

Assessing aetiology
Consider:
Ischaemic heart disease;
Hypertensive heart disease;
Valve disease;
Arrhythmias;
Toxic damage;
Immune mediated;
Infiltrative disease;
Metabolic derangement; and
Genetic factors

 

Understanding precipitating factors
Acute coronary Syndrome;
Arrhythmias (i.e. AF Bradyarrhythmias);
Infection;
Drugs (i.e. NSAIDs);
Changes to heart failure medication;
Hypertensive crisis;and
Pulmonary embolism.

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