emDocs - July 23, 2018 - Author: Long B / Edited by: Koyfman A
"Key Points
- A variety of misconceptions are present concerning the ED evaluation and management of AHF.
- BNP should only be used in conjunction with clinical gestalt and cannot be used in isolation on a reliable basis.
- There are many other conditions that can elevate BNP, and obesity can actually decrease BNP.
- Renal function, including Cr and BUN, are important assessments in the patient with AHF exacerbation. Elevation in these tests are associated with poor outcome.
- Though chest x-ray is considered the go-to imaging test, ultrasound is better for evaluating for the presence of pulmonary edema."