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⏱️ 200s
🌱 Beginner Level — 0 / 50
Advanced CHF — Inpatient Palliative Symptom Care
An 81-year-old man with end-stage heart failure (EF 15%) is admitted with refractory dyspnea despite maximal medical therapy. He declines further aggressive interventions. Outline inpatient palliative care.
summaryTitle
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summaryRefs
sfx_miss_firm
00:00 / 00:00
sfx_correct_minimal
00:00 / 00:00
sfx_complete_fanfare
00:00 / 00:00
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Optimize loop diuretics for symptom relief, not survival
Recognize refractory end-stage CHF with poor prognosis
Discuss hospice enrollment and goals of care with family
Positioning, oxygen for comfort, fluid/salt restriction only if consistent with comfort
Low-dose morphine for dyspnea relief
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