Stabilize → diurese to euvolemia → optimize GDMT (ARNI, BB, MRA, SGLT2i) → discharge with follow-up.
Authored pathway active · cardio.hf.inpatient_to_discharge.inpatient
Stabilize → diurese to euvolemia → optimize GDMT (ARNI, BB, MRA, SGLT2i) → discharge with follow-up.
Guidelines: AHA/ACC/HFSA 2022 HF Guideline · ESC 2021 HF Guideline + 2023 Focused Update (EMPULSE, ADVOR) · PIONEER-HF, TRANSITION (pre-discharge ARNI)
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.
19-panel workspace
cardio.hf.inpatient_to_discharge · InpatientStart patient workup
Open a scratch or linked encounter, add active problems, then keep labs, fluids, acid-base, and electrolyte tools beside the main workspace instead of losing context.
Encounter and problems
No encounter open. Add a problem to create a scratch encounter when none is open.
Multi-window tools
Unified
labs + fluids + acid-base
Labs
fast lab analyzer
Fluid
resuscitation and balance
Electrolytes
Na/K/Mg/Phos/Ca
ABG/VBG
compensation and mixed disorders
Popular entry points
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The Engine Atlas covers every authored disease package with setting chips and pathway badges. Open any engine to load its 19-panel workspace, backed by phenotype-aware reasoning and monitored by the Flow Assistant.