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Is any other investigation required?

Which drug provides the best ionotropic support in shock related to decompensated heart failure?

• Dopamine
• Dobutamine
• Adrenalin
• Nor-adrenalin
• Vasopressin

How do you treat hyponatremia and hypokalemia related to heart failure?

• Sodium supplementation- a) Hypertonic saline; b) Oral salt
• Fluid restriction
• Potassium supplementation
• Vaptans– Tolvaptan

How do you provide the best ventilator support to a patient in shock?

• Oxygen inhalation through nasal prongs
• NIV
• CPAP
• BPAP
• Full mechanical support with PEEP

Would treating anaemia help?

• Oral haematinics
• Erythropoietin or analogue
• IV iron therapy
• Blood (packed cell) transfusion