History |
Presenting symptoms like diarrhea, vomiting, and bleeding, history of weight gain, history of heart failure or cardiac diseases in the past, assessing daily weights, urine output |
Physical examination |
Measuring blood pressure and pulse, skin and mucous membrane, CRT, JVP, precordial auscultation of third heart sounds, lung auscultation for crackles, lower extremity edema, mentation, temperature of extremities |
Lab parameters |
ABG analysis, plasma osmolality and plasma colloid oncotic pressure, electrolytes, urine analysis, serum, uric acid, natriuretic peptides, blood lactate |
POCUS |
Lung examination for congestion IVC assessment for diameter and collapsibility, internal jugular vein distension, left ventricle contractility |
Pre-load evaluation |
Barometric CVP, PCWP, volumetric, transpulmonary thermodilution, Swan-Ganz |
Dynamic variables |
Stroke volume variation, pulse pressure variation, plethysmographic variability index |
Modified fluid challenge |
Passive leg raises, mini fluid bolus (100-200 ml) |
Imaging |
Chest X-ray |