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Management and treatment in primary care |
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Management and treatment in primary care
Treatment with specialist input in the community
Refer to HF MDT/Ambulatory unit/Hospital At home servicesIV Diuretic Therapy (ALL): If Known diagnosis of HF
Prognostic Therapies
- Review all heart failure medications and optimise where possible
Other HF interventions:
- Consider need for advanced care planning/palliative care
- Referral to cardiac rehab when stable
- Provide patient education
- Follow-up with heart failure MDT within 2 weeks of ‘discharge’ from ambulatory care (known HF)
- Assess renal function 24 hourly whilst on IV diuretics
- Daily Review with assessment of heart rate, blood pressure, renal function, fluid balance and weight until clinically stable for 24-48 hrs
- For confirmed heart failure cases, consider suitability for remote monitoring if available
- For suspected new heart failure cases, refer to heart failure assessment service as per NICE guidance
Fluid overload protocol
IMPORTANT! - DO NOT STOP HEART FAILURE TREATMENTS WITHOUT DISCUSSING WITH THE HEART FAILURE TEAM
Contents:
- Detection
- Diagnosis
- Acute Heart Failure: Diagnosis and management
- Chronic heart failure: Management and treatment
- Discharge and follow-up
- Palliative and psychological care
- Digital support
In this section
- Assessment in primary care
- Investigations in primary care
- Management in primary care
- Assessments in hospital
- Investigations in hospital
- Management in hospital
About this pathway
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(c) British Society for Heart Failure, 2022-
