How do you determine the optimal time to restart a diuretic in a patient with cirrhosis, ascites, and lower extremity edema who presented with acute kidney injury that resolved with IV albumin and holding diuretics?

How do you approach restarting spironolactone and a loop diuretic in a patient with cirrhosis, ascites, and lower extremity edema who presented with AKI that resolved with IV albumin and holding diuretics?

• Restart spironolactone at discharge, and monitor response before adding a loop diuretic
• Restart both spironolactone and loop diuretics simultaneously at lower doses at discharge and monitor closely
• Hold diuretics on discharge and reassess the need for diuretics at the next outpatient visit
• Other