Question: After realizing he needs optimization and likely will not be able to get into see a cardiologist for the next 6 weeks, you know you
After realizing he needs optimization and likely will not be able to get into see a cardiologist for the next 6 weeks, you know you are to mange his HF until his consultation. What do you do now? Select all that apply: 1. Maximize his HF therapy by utilizing a BB and ACEi (adjusting the dose) 2. Maximize his HF therapy by utilizing a CCB and Digoxin, 3. Increase his Lisinopril to 40 mg daily, 4. D/c his ACEi and start an ARB (that is why his HF is exacerbated). ARB is superior to ACEi in data outcomes. 5. Add a BB: Atenolol is the drug of choice. 6. Add a BB: Coreg is the drug of choice. 7. Out of concern he will agian be "lost" to follow up you recognize: He must be referred to the cardiologist (already done) and you should document in your note that you have made it clear that it is "not optional that he seek cardiology consultation. I have advised he complete his consultation for maximal safety and to avoid risk of deteroration and death." 8. He now does not have to seek cardiology consultation as long as you manage hi with first line therapies
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