Monitoring requirements - Cardiac Drugs & Anti-coags
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When someone is prescribed ACE inhibitors, what should be assessed and monitored?
Renal Function Electrolytes
How often should a person taking ACE inhibitors have their renal function and electrolytes checked?
Before starting Regularly during treatment
What are the monitoring requirements for Beta Blockers - selective and non-selective?
Lung function in those with history of obstructive airway disease
What are the monitoring requirements for those taking thiazide diuretics?
Electrolytes should be monitored particularly for high dose and long term use
What should be monitored for patients taking warfarin?
Base-line prothrombin INR daily or on alternate days in early days of treatment, then at longer intervals (depending on response), then up to every 12 weeks. Change in patient’s clinical condition, particularly associated with liver disease, intercurrent illness, or drug administration, necessitates more frequent testing.
Patient/carer advice for ACE inhibitors?
None
Patient/carer advice for Beta blockers?
Can mask symptoms of hypoglycaemia
Patient/carer advice for Thiazides?
Consider onset of action time
Patient/carer advice for warfarin?
Anti-coag booklet (inc advice and alert card, section recording INR) Stop taking 72 hours before surgery Pomegranate increases INR in response to warfarin