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ID:50992345
大小:67.00 KB
页数:12页
时间:2020-03-17
《改善心衰预后的新策略.ppt》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、CreatingNewStrategiesforImprovingHeartFailureOutcomesSTATISTICSEffects4.8millionpersonsinUSCostssociety$20billionannually400,000to700,000diagnosedeachyearHospitalizationsincreased155%overthelast20yearsExpectedtoworsenovernextdecadePROGNOSISFrequenthospitalizationsPoorqualityoflifeIncreasedmorbidi
2、tyOverall5yearsurvival50%Lessthan25%receivepropermedicationsandeducationLAoneoflowestrankedstatesinHFtreatmentDIANOSTICTESTSChemistrypanelCBCLipidsTSHB-typenatureticpeptidelevelCXR,EKGECHO/MUGATREATMENTACEinhibitors/ARBBetablockersDiureticsHMGCoReductaseInhibitorsDietaryrestrictionsLifestylemodif
3、icationsPatienteducation,education,education!GOALSEarlyidentificationofatriskpopulationsPropertreatmentmodalitiesTreatco-morbidconditionsDecreasehospitalizations/ERvisitsImprovequalityoflifeReducemorbidity/mortalityLKRMCPROGRESSIncreasedreferralstoHFclinicInpatient&outpatienteducationprogramSmoki
4、ngcessationprogramImprovedaccesstoprocurementprogramInstitutedBNPleveltestingRESULTS(n=90)93%onBetablockers94%onACE/ARB9hospitalizations4ERvisitsImprovedEF%(10-20%)PLANSUpdatepatientdatabasePromotenetworkingopportunitiesImprovedcontrolofco-morbidconditionsDiscontinuationofoffensivemedicationsOutp
5、atientIVLasixprotocolIncreasedcommunityawarenessParticipationinOptimizeHFDatabasePREVENTIONTightBPcontrolAggressivetreatmentofcholesterolOptimalcareofdiabetesPreventMI,CADTreatunderlyingcausesBetablockersinMIsurvivorsregardlessofEFUSEWITHCAUTIONCalciumchannelblockersNSAIDSTricyclicantidepressants
6、MusclerelaxantsThiazolidinedionesMetforminStaffMembersTympleMiller,DietitianKerriArdillo,RN,UtilizationManagerKeriBlanchard,PatientEducatorGhiathMikdadi,MDMedicalLeadJenniferMoran,StatisticianJoanGood,LPNWendyYoung,APRNClinicalCoordinatorAncillarystaff
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