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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heart Failure, Dyslipidemia, High BP, Pulse Rate, Potassium Levels. Advice?

hello, our Neighbor femail 64years ago have III heart failure , HTN, DM-2 and dyslipidemia , she walls intolerant to enalapril owing to the development of a dry persistent cough. and her medications on admission are: ASA 100 mg daily, Metformin 850mg three times daily, atorvastatin 40 mg every morning, spironolactone 12.5 mg twice daily, candesartan 32 mg daily and Bumetanide 1 mg daily. also she have high potasium level (k= 5.1) , nd her Bp = 150/95 , and EF is 31% , pulse = 114 bpm , have headache what she should do i? thank you .
Wed, 14 Nov 2012
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Cardiologist 's  Response
Hi
in view of high potassium level she should be care ful in taking candesarten and spironolaCTONE AS THIS BOTH MEDICINE WILL INCREASE potassium level so closely monitor potassium level
for diabetes she is on metformin , inview of low EF and as she is admitted better choice is insulin to control sugar level
rest of medicine is fine and she will improve
take care
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Heart Failure, Dyslipidemia, High BP, Pulse Rate, Potassium Levels. Advice?

Hi in view of high potassium level she should be care ful in taking candesarten and spironolaCTONE AS THIS BOTH MEDICINE WILL INCREASE potassium level so closely monitor potassium level for diabetes she is on metformin , inview of low EF and as she is admitted better choice is insulin to control sugar level rest of medicine is fine and she will improve take care