Would you consider adding a loop diuretic for patients with HRS type 1 who are on a stable dose of vasoconstrictors to enhance diuresis?

How do you approach the use of loop diuretics to enhance diuresis in patients with HRS type 1 who are on a stable dose of vasoconstrictors?

• I routinely use loop diuretics like IV furosemide alongside vasoconstrictors if MAP is adequately increased
• I use loop diuretics selectively, considering each patient's individual risk factors and response to vasoconstrictor therapy
• I avoid loop diuretics in all patients with HRS-1, regardless of MAP optimization