Would you add an SGLT2 inhibitor to augment diuresis during a hospitalization in a patient with nephrotic syndrome, an eGFR above 30 mL/min/1.73m2, and refractory hypervolemia on an intravenous loop diuretic?
Answer from: at Academic Institution
Establish true loop diuretic refractoriness (minimum frequency: BID, the max dose depends on CrCl).
Add sequential diuretics. Metolazone or other thiazide-like diuretics, with without amiloride or spironolactone. (Latter diuretics are preferred if the patient is hypokalemic).
Add 25% alb...
Comments
at University of Wisconsin School of Medicine and Public Health Have not used SGLT2i for diuretic use at this time...
Have not used SGLT2i for diuretic use at this time...