High CI/Low PCWP

• (Forester clasification)
• Therapy

• I
• Optimize drugs

High CI/High PCWP

• (Forester clasification)
• Therapy

• II
• Diuretic

Low CI/Low PCWP

• (Forester clasification)
• Therapy

• III
• Fluids

Low CI/High PCWP

(Forester clasification)

Naloxone

Atropine

Vasopressin

Epinepherin

Lidocaine

1. Amiodarone
2. Lidocaine

Amelia Earhart had an attack and lost consciousness

1. Atropine
2. EP or DA
3. Isoproterenol

"whoever lowers their pulse the most gets a trophy"

Regular narrow complex tachycardia

(SVT)

1. Vagal maneuver
2. Adenosine
3. BB/CCB/Digoxin

if you have too much ATP youll get a fast HR. 

Irregular narrow complex

(AFB/AFL)

1. Diltiazem/BB

2. Shock

• Amiodarone
• Procainamide
• Sotalol
• Shock

Using Android APS will cause your ventricles to pump irregularly

(HF)

Pharm treatment

0. Furosemide (symptoms)

1. ACE/ARB

1.5 BB when safe

2. Hydralazine/Isosorbide

3. Aldosterone Antage

4. Digoxin (symptoms)