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