Short Stay Management of Acute Heart Failure Contemporary Cardiology

This timely book is a road map for defining the care of acute heart failure patients in the short stay or observation unit setting. Produced in collaboration with the Society of Chest Pain Centers, this book provides an understanding of the diverse medical needs and solutions, administrative processes, and regulatory issues necessary for successful management. In an environment of increasing financial consciousness, medical practice is changing drastically. Short stay care is premier among the new specialties that cater to the complex balance of optimizing patient outcomes while minimizing fiscal burdens. The observation unit has proven to be an excellent arena for the care of acute heart failure, replete with opportunities to improve both medical management and quality metrics. Unique to the field, Short Stay Management of Acute Heart Failure, Second Edition is the only book of its kind, providing the medical, regulatory, and economic tools necessary to create and implement successful short stay management protocols and units for the care of the heart failure patient. It is an essential guide for health care professionals and for hospitals and institutions wishing to be recognized as quality heart failure centers as accredited by the Society of Chest Pain Centers. Front Matter....Pages i-xiii Front Matter....Pages 1-1 Society of Chest Pain Centers’ Heart Failure Accreditation....Pages 3-7 The Economics and Reimbursement of Congestive Heart Failure....Pages 9-32 Regulatory Requirements in Acute Heart Failure....Pages 33-43 Quality and Operational Metrics in Heart Failure....Pages 45-58 Interaction of Performance Measurements, Staffing, and Facility Requirements for the Heart Failure Observation Unit....Pages 59-63 Front Matter....Pages 65-65 Heart Failure: Epidemiology and Demographics....Pages 67-75 Pathophysiology of Acute Decompensated Heart Failure....Pages 77-83 Front Matter....Pages 85-85 The Out-of-Hospital Management of Acute Heart Failure....Pages 87-104 Dyspnea Assessment and Airway Management in Acute Heart Failure Syndromes Patients....Pages 105-112 Volume Assessment in the Emergency Department....Pages 113-124 Diagnostic and Prognostic Biomarkers in Emergency Department Heart Failure....Pages 125-139 Emergency Department Therapy of Acute Heart Failure....Pages 141-161 Front Matter....Pages 163-163 Observation Unit Admission Inclusion and Exclusion Criteria....Pages 165-171 Acute Heart Failure in Observation Unit Treatment Protocols....Pages 173-186 Education Elements in the Observation Unit for Heart Failure Patients....Pages 187-198 Emergency Department and Observation Unit Discharge Criteria....Pages 199-206 Effective Discharge Planning....Pages 207-215 Outpatient Medication Titration in Acute Heart Failure....Pages 217-227 Front Matter....Pages 229-229 Drugs to Avoid in Acute Heart Failure: Contraindicated Medications and Interactions....Pages 231-235 Implications of Atrial Fibrillation in Heart Failure Management....Pages 237-252 Front Matter....Pages 229-229 Implantable Cardiac Devices....Pages 253-265 Heart Failure and Kidney Disease: Management in the Short-Stay Unit....Pages 267-277 Heart Failure Research in the Emergency Department and Observation Unit....Pages 279-292 Appendix: Shared Practice Examples....Pages 293-341 Back Matter....Pages 343-347