Avoid Clinical Inertia in Patients With HFrEF and CKD

September 2022

Few patients with chronic kidney disease (CKD) are on optimized meds for heart failure with reduced ejection fraction (HFrEF).

It’s a delicate balance. Hyperkalemia can occur with an ACEI or ARB, Entresto (sacubitril/valsartan), or an aldosterone antagonist.

Plus these meds or SGLT2 inhibitors (Farxiga, etc) can cause an initial bump in serum creatinine (SCr).

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Table of Contents

Influenza Know What’s Changed With Flu Immunization for 2022-2023
Infectious Diseases Educate About Monkeypox...and Limit Misinformation
Heart Failure Avoid Clinical Inertia in Patients With HFrEF and CKD
Oral Health Stick With Simple Approaches for Dry Mouth
Interactions Know Which Serotonin Syndrome Alerts Require a Med Change
Devices Be Ready to Answer Questions About Hearing Aids
Antithrombotics Demystify Gastroprotection With Antithrombotics
Vaginal Infections Clarify the Role of Vivjoa for Recurrent Yeast Infections
Diabetes Focus on Lifestyle and Insulin for Gestational Diabetes
Substance Use Disorder Assess Phenobarbital Use for Alcohol Withdrawal
Appropriate Med Use Address SGLT2 Inhibitor Use in the Hospital
Critical Care Sort Out Safe Treatment for Acute DIC