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2 Definition of HF Heart failure is a complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill with or eject bloodHeart failure is a complex clinical syndrome that can result from any structural or functional cardiac disorder that impairs the ability of the ventricle to fill with or eject blood As a consequence the heart fails to pump sufficient blood to meet the body's metabolic needs.
16 Sodium-Restricted Diet In patients with hypertension or evidence of fluid retention, but is not required in all patients.In patients with hypertension or evidence of fluid retention, but is not required in all patients.
20 1-Diuretics in HF By enhancing renal excretion of sodium and water, diuretics diminish vascular volume, thus relieving ventricular and pulmonary congestion and decreasing peripheral edema.By enhancing renal excretion of sodium and water, diuretics diminish vascular volume, thus relieving ventricular and pulmonary congestion and decreasing peripheral edema.
24 2-Angiotensin-Converting Enzyme Inhibitors Drugs with vasodilating properties have become a primary treatment modality of HF.Drugs with vasodilating properties have become a primary treatment modality of HF. 25 Angiotensin-Converting Enzyme Inhibitors ACE inhibitors are not only vasodilators but they also favorably modify cardiac remodelingACE inhibitors are not only vasodilators but they also favorably modify cardiac remodeling they have a more tolerable side effect profile.they have a more tolerable side effect profile.
DIMENSIONI DEL PROBLEMA Watson RS, Carcillo JA, Linde-Zwirble WT, et al: The epidemiology of severe sepsis in children in the United States. IMMUNOGLOBULINE Da considerare nella sepsi severa come terapia adiuvante (2C) Metanalisi (Kreymann et al.


Seminario per la divulgazione del PROTOCOLLO per la gestione del paziente adulto con sepsi severa e shock settico Dott.ssa Daniela DallOlio Dirigente Medico.
2 Definition of HF Heart failure is a complex clinical syndrome that can result from any structural or functional cardiac disorder.
First in LL associated with features of nutritional deficiencyNutritional: long history of inadequate diet or diarrhea. Dietary sodium can be reduced to 2 to 4 g of NaCl is more palatable and leads to better adherence than a severely salt-restricted diet.Dietary sodium can be reduced to 2 to 4 g of NaCl is more palatable and leads to better adherence than a severely salt-restricted diet. They produce symptomatic relief more rapidly than other drugs for HF.They produce symptomatic relief more rapidly than other drugs for HF.
Arterial dilation provides symptomatic relief of HF by decreasing arterial impedance (afterload) to left ventricular outflow.Arterial dilation provides symptomatic relief of HF by decreasing arterial impedance (afterload) to left ventricular outflow.
However, monotherapy with diuretics is discouraged, diuretics should be combined with an ACE inhibitor and a ?- blocker unless contraindications exist.However, monotherapy with diuretics is discouraged, diuretics should be combined with an ACE inhibitor and a ?- blocker unless contraindications exist.


Venous dilation decreases left ventricular congestion (preload).Venous dilation decreases left ventricular congestion (preload).
2007 (RCT) SACCA A PRESSIONE DI 300 mmHg, INFUSIONE A MANO, infusione per gravita Solo i primi 2 raggiungono lobiettivo per P 2° VIA!!!! The combination of these two properties provides additive benefits to alleviate the symptoms of HF and increase exercise tolerance.The combination of these two properties provides additive benefits to alleviate the symptoms of HF and increase exercise tolerance. 5.Amiodarone is indicated in the treatment of symptomatic ventricular tachycardia and atrial fibrillation associated with HF.



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