#69 Inpatient Heart Failure: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 24 June 2020

⏱️ 45 minutes

🔗️ Recording | iTunes | RSS

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Summary

Packed with so many clinically relevant points taking care of a patient with decompensated heart failure on general medicine floors! Time Stamps: * 03:17 What are the key initial clinical variables in evaluating heart failure admissions? * 10:09 What are key lab findings for patients with heart failure exacerbation? * 17:14 Which guideline-directed medical therapy, and in what circumstances? * 22:12 What are diuretics dosing strategies and monitoring tips to help guide initial volume removal? * 28:43 What role do thiazides and ultrafiltration play in diuresis, why does diuretic-induced metabolic alkalosis happen and what should you do about it? * 38:09 Expert Recap Show notes, transcript and references: https://www.coreimpodcast.com/2020/06/24/5-pearls-on-inpatient-heart-failure/ (https://www.coreimpodcast.com/2020/06/24/5-pearls-on-inpatient-heart-failure/) ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) Tag: Cardiology, BNP, cardiorenal syndrome, beta-blockers, CoreIM, IMCore Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	Hi everyone, this Coram episode this month will count for
0:03.6	Sammy Credit with ACP, yay?
0:06.6	We will link the exact URL in the show notes, so click on the link,
0:09.7	answer three questions, and get CME Credit.
0:12.2	And with that, Q the intro.
0:14.7	This is Dr. Marty Freed, a primary care physician at the Ohio State University,
0:21.0	Wexner Medical Center. And this is Dr. Shroya Trebeti, an internist at Beth Israel Deaconess Medical Center.
0:27.0	And Dr. Michael Dunleavy, a clinician educator fellow at Ohio State.
0:31.0	This is the CoreIM Five Parols Podcast bringing you high-yield evidence-based
0:35.2	pearls. Today we're kicking off a two-part series on advanced heart failure.
0:41.6	All right, our first episode is going to address pearls around heart failure on the general
0:46.8	medicine floors.
0:47.8	In our next episode, we'll tackle more ICU level care with discussion on advanced therapies.
0:53.6	We are super excited to introduce a new friend of the pod, Dr. Michael Patrick Dunleavy.
0:59.3	Great to be here.
1:00.6	Right on.
1:01.6	All right, let's get started with the Pearls we'll be covering in this episode.
1:04.9	Test yourself by pausing after each of the five questions.
1:08.4	Remember, the more you test yourself, the deeper your learning games.
1:11.8	Pearl 1, initial clinical assessment.
1:14.0	What are some key clinical variables to evaluate when you first meet a patient with acute decompensated heart failure?
1:21.0	Pearl 2.
	...

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