TITRATION

TITRATION

SBP < 90mmHg Fluid Assessment

Select fluid status ...
POTENTIAL ACTIONS:

- Reduce or hold diuretic x 2-3 days
- If no improvement, reduce or hold ACEI / ARB


REASSESS:

- ACEI / ARB dose 1-2 weeks
POTENTIAL ACTIONS:

- Reassess diuretic dose (goal: minimum effective dose)
- Reassess non-essential vasodilators and other agents that lower BP
- If no improvement, reduce or hold ACEI / ARB dose
- Consider staggering medications throughout day

REASSESS:

-ACEI / ARB dose in 1-2 weeks
POTENTIAL ACTIONS:

-Reassess non-essential vasodilators and other agents that lower BP
-Reduce or hold ACEI / ARB
-Increase diuresis x 2-3 days. See Diuretic algorithm

REASSESS:

-ACEI / ARB dose in 1-2 weeks