TITRATION

TITRATION

SBP < 90mmHg Fluid Assessment

Select fluid status ...
POTENTIAL ACTIONS:

- Reduce or hold diuretic x 2-3 days

REASSESS:

- Diuretic maintenance dose in 3-7 days
POTENTIAL ACTIONS:

- Reassess diuretic dose to ensure minimum effective dose
- Reassess non-essential vasodilators and other BP lowering agents, eliminate if possible
- Stagger doses of antihypertensive agents and/or diuretics

REASSESS:

- BP in 1-2 weeks
POTENTIAL ACTIONS:

- Reduce or hold dose of agents that decrease BP to allow for diuresis x 1-2 weeks; then reassess

REASSESS:

- Diuretic dose in 2-3 days