RT Book, Section
A1 Moro-Sutherland, Donna M.
A2 Schafermeyer, Robert
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
SR Print(0)
ID 1106772933
T1 Congestive Heart Failure
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-182926-7
LK accesspediatrics.mhmedical.com/content.aspx?aid=1106772933
RD 2024/04/20
AB A  directed  history  and  physical  examination  can  provide  clues  to  the  presence  and  possible  etiologies  of  heart  failure.Abnormal  vital  signs  with  normal  temperature  may  suggest  cardiac  disease.Tachycardia  of  heart  failure  is  often  “monotonous”  or  incessant,  and  does  not  typically  respond  to  treatment  (i.e.,  volume,  antipyretics,  pain  medications,  etc.).Tachypnea,  failure  to  thrive,  or  diaphoresis  with  feeding,  accompanied  by  abnormal  lung  sounds,  tachycardia,  gallop,  and  hepatomegaly  suggest  CHF  in  an  infant.New-onset  heart  failure  may  be  less  overtly  symptomatic  in  older  children.  Symptoms  of  abdominal  pain  and  nausea  and  anorexia  can  be  present,  sometimes  diverting  attention  from  the  real  cause.Management  is  directed  at  the  cause.  Medications  to  consider  include  diuretics,  vasodilators,  inotropes,  and  neurohumoral  modulators.