Be Ready With Strategies to Manage “Diuretic Resistance”

April 2023

You’ll hear debate about the best approach for managing “diuretic resistance” in acute decompensated heart failure.

Continue to start IV furosemide at 1 to 2.5 times the TOTAL DAILY oral home dose.

For example, if the home oral furosemide dose is 40 mg daily, multiply this by 1 to 2.5 for an initial dose of 40 to 100 mg of IV furosemide. Plan to give this dose bid to tid.

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