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The CHF Margarita – Finding the Right Mix for Your Patient

John Bielinski, MS PA-C By July 14, 2017March 24th, 2019No Comments

The CHF Margarita - Finding the Right Mix for Your Patient

The “CHF Margarita”

As providers, we often play “bartender” when doling out the right “cocktail” of medication to a patient. We add a splash of beta blocker and a touch of potassium until we get it just right.

We always try to optimize medical management, but often this takes a few visits. Between juggling side effects and renal function with the patients symptoms, you can really tailor the cocktail to their needs. We are often robbing “Peter to pay Paul” as out loop diuretics will often tax the renal system which is already working hard.

One trick we have used is to do QOD dosing on loops and sometimes this will help. So other than the drugs listed in the cocktail, do you have any favorite go to meds?

Explaining the “CHF Margarita” Metaphor:

Margarita Mix = Beta Blocker

Lime = ACEI

Salt = Potassium

Cointreau = Spironolactone

Tequila = LASIX


 Related Video:

John Bielinski PA-C walks you through his method to understand CHF for your PANRE.

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