Every visit:
Lying
Sitting
Standing
One week after:
initiation
dosage increase
> 30% increase in Scr
Every 3-6 months as clinically indicated
One week after:
initiation
dosage increase
rise in K+ noted
Every 3-6 months as clinically indicated
Stop ACEI / ARB, refer to emergency for assessment and treatment as required
Do not rechallenge
Caution when subsitituting ARB for ACEI
Assess for baseline cough and document
Cough may be due worsening HF
If bothersome cough from ACEI consider:
Trial of another ACEI
Switch to ARB
REASSESS: cough in 2 weeks and document