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THE REASON BEHIND THE OPTIMAL FAILURE OF MEDICATION IN ICU AT THE END STAGE OF CHF
EP24406
Poster Title: THE REASON BEHIND THE OPTIMAL FAILURE OF MEDICATION IN ICU AT THE END STAGE OF CHF
Submitted on 02 Sep 2016
Author(s): P. Mukesh raja, K. Rose mary, Sk. Rihana parveen, K. Venkata ramana
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Abstract: Overthelast10years,therehasbeenarealisationthatheartfailure(itselfthefinalcommonpathwayofseveralaetiologiessuchashypertension,ischemicandvalvularheartdisease,andcardiomyopathy)isaterminalillness.Althoughadvancesintreatmenthavemadeamajorimpactontheclinicalcourseandprognosis,patientsmaystillexperiencedebilitatingproblemsintheendstageoftheirdisease,andarelesslikelytohaveaccesstosupportiveandpalliativecareservicesthanpatientswithmalignantdisease.Summary: our study is about the measures and the suggestive precautions of failure of medications to be taken in patients with end stage of congestive heart failure who are admitted in intensive care unit. References: MurraySA,BoydK,KendallM,etal.Dyingoflungcancerorcardiacfailure:prospectivequalitativeinterviewstudyofpatientsandtheircarersinthecommunity.BMJ2002;235:929–34.NJohnsonMJ,McDonaghTA,HarknessA,etal.Morphineforthereliefofbreathlessnessinpatientswithchronicheartfailure–apilotstudy.EurJHeartFailure2002;4:753–6.Itisimportantthatthemedicalmanagementofheartfailureisoptimisedasthishasamajoreffectnotonlyonsurvivalbutalsoonsymptomcontrol.Thisshouldbereviewedregularly.Angiotensin-convertingenzymeinhibitors(ACE-I)orangiotensinIIinhibitors(AII-I)arethemainstayofpharmacologicaltreatmentandshouldbecontinuediftolerated.12–18Themaindifficulties,particularlytowardsendstagedisease,arehypotensionandrenaldysfunction.Report abuse »
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