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Carol has persistent albuminuria,
but her potassium is five

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point three. A medication plan
without laboratory review and

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follow-up could create preventable harm.

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Do not initiate finerenone
at that potassium level.

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Review the result, medicines,
supplements, and clinical context, and

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arrange an appropriate response.

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When treatment changes, specify
the laboratory test, the date,

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and who will act on the result.

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When a specialist visit is
delayed, keep an interim

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owner of care. A prescription
is not a completed

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handoff. Ask Carol to
describe the next step in

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her own words. The HEART
RESERVE approach is history,

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evidence, next action, and follow-up.