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Manage episode 518166863 series 3700394
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📝 EPISODE NOTES

1. Furosemide (Lasix)

Strategy: “Check the potassium and the weight!”

Key Points:

Focus on potassium (low levels = priority) and weight (for fluid status).

Risk: Hypokalemia, dehydration, hypotension.

Action: Monitor potassium levels, assess weight, check for signs of dehydration.

2. Carvedilol (Coreg)

Strategy: “Pulse before pill!”

Key Points:

Beta blocker; slows heart rate.

Action: Check apical pulse—hold if <60 bpm.

Watch: Hypotension, bradycardia, dizziness.

3. Spironolactone (Aldactone)

Strategy: “Potassium is the boss!”

Key Points:

Action: Monitor for hyperkalemia (especially with salt substitutes).

Risk: Elevated potassium → peaked T-waves on ECG.

Teaching: Avoid potassium-rich foods and salt substitutes.

4. Entresto (Sacubitril/Valsartan)

Strategy: “Angioedema = STOP + CALL!”

Key Points:

Swelling of lips, tongue, or face = emergency.

Action: Stop the medication, call the provider immediately.

Washout period: 36 hours between ACE inhibitors and Entresto to prevent angioedema.

5. SGLT2 Inhibitors (Empagliflozin, Dapagliflozin)

Strategy: “Infection down below!”

Key Points:

Increased risk of UTIs and yeast infections.

Action: Patient teaching on proper hygiene and fluid intake.

Risk: Glucosuria → infection.

Need to reach out? Send an email to Brooke at [email protected]

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43 episodes