What is your preferred next step when you do not achieve daily diuresis goals with spot doses of IV furosemide in patients with decompensated heart failure?
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What is your preferred next step when you do not achieve daily diuresis goals with spot doses of IV furosemide in patients with decompensated heart failure?
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1 Answer
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Cardiology · Ohio State University College of Medicine
Answered on
When faced with a situation where the congested heart failure patient is not responding to initial spot (bolus) IV loop diuretic (typically furosemide), my initial step would be assurance that the appropriate dose is being used. We learned from the DOSE-AHF trial (Felker et al., PMID 21366472) that ...
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