follow-up

Last reviewed 01/2018

• patients should be reviewed by their family practitioner or in a hospital outpatient clinic every few months
• creatinine and electrolytes should be measured at least every six months
  • more frequent monitoring of electrolytes will be required in particular circumstances e.g. initiation and adjustment of dose an ACE inhibitor or angiotensin receptor blocker, alteration of diuretic therapy, use of a combination of loop and thiazide diuretics, use of an aldosterone agonist such as spironolactone
• if patients are symptomatic or there is a deterioration then follow-up should be more frequent