Are there instances when you use diuretics for non-oliguric patients with volume overload in the setting of hepatorenal syndrome who have normal MAPs?

Absolutely. First, since most patients with HRS are oliguric and have low MAPs, I would look for alternative explanations for renal insufficiency. But, yes, if someone like this is volume overloaded, then I do use diuretics, often in conjunction with large volume paracentesis, to manage the volume o...

I try to avoid them as much as possible in favor of doing large volume peritoneal taps with albumin infusion. It is unusual for hepatorenal syndrome patients to have normal blood pressures. I would reconsider the diagnosis in those cases.