Shock/respiratory failure in HF: maintain perfusion, oxygenation, decongest when perfused, decide advanced-HF candidacy.
Authored pathway active · cardio.hf.inpatient_to_discharge.icu
Shock/respiratory failure in HF: maintain perfusion, oxygenation, decongest when perfused, decide advanced-HF candidacy.
Guidelines: AHA/ACC/HFSA 2022 HF Guideline · ESC 2021 HF Guideline · INTERMACS 2009 / advanced HF referral criteria
Phenotypes (10)
- Warm & wet (congested, adequate perfusion)
- Cold & wet (congested + hypoperfused)
- Warm & dry (not congested, stable)
- Cold & dry (low output without congestion)
- +6 more
Red flags (7)
- Cardiogenic shock (SBP < 90 + lactate ≥ 2 + end-organ signs)CRITICAL
- Refractory hypoxia / impending respiratory failure on HFCRITICAL
- Creatinine rising > 50% from baseline during IV diuresisHIGH
- Severe hyperkalemia (K ≥ 6.0) on MRA / ACEi / ARB / ARNICRITICAL
- +3 more
Pathway-scoped symptom and exam intake
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Uses LR engine cardio.hf.core.v1, then routes suggested engines into the workspace.
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cardio.hf.inpatient_to_discharge · ICUStart patient workup
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compensation and mixed disorders
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