Which patients with chronic kidney disease and volume overload do you treat with home subcutaneous furosemide instead of admitting for IV diuresis?

Which patients with CKD and volume overload do you treat with home subcutaneous furosemide instead of admitting for IV diuresis?

• Mild to moderate hypervolemia, such as peripheral edema or modest weight gain, without hypoxia or respiratory distress
• Inadequate response to escalated oral loop diuretics, likely from poor gut absorption due to gut edema
• Stable electrolytes and kidney function, with no significant hyperkalemia, hyponatremia, or rapidly rising creatinine
• Reliable patient or caregiver able to apply the device, with labs and follow-up within 48 to 72 hours
• Advanced CKD with eGFR below 30, as long as the above criteria are met
• Nephrotic syndrome with diuretic-resistant edema
• I rarely or never use home subcutaneous furosemide and admit for IV diuresis instead
• Other