Patients presenting with ADHF generally require admission to the hospital for hemodynamic optimization, volume regulation, and adjustment of their outpatient medications. Only patients with mild symptoms and reliable outpatient follow-up are considered for discharge home following treatment in the ED. Patients with any significant vital sign abnormalities or respiratory difficulties as well as those with evidence of cardiac strain are generally admitted to the hospital for cardiac monitoring and diuresis. These patients are typically admitted to a telemetry bed, and they may require admission to a floor with greater monitoring by nursing, depending on the severity of their disease.
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