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Signs of left heart failure
Weak pulses, alternating pulses, central cyanosis, displaced apex beat, s3 gallop, bibasal crackles
Signs of right heart failure
Raised jvp, tender hepatomegaly, ascites, bipedal oedma
Management of acute heart failure
Admit
Prop patient up in bed
Give oxygen 10L/min
Give iv morphine and metoclopramide
Give furosemide
Treat shock
Treat underlying cause
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