Consider Nuances to Optimize Acute and Chronic Heart Failure Treatment
November 2019
You'll see new focus on fine-tuning diuresis and discharge meds in acute heart failure...due to guidance from the Am College of Cardiology.
Continue to start IV furosemide at 1 to 2.5 times the TOTAL DAILY oral home dose. Divide the total IV dose in half and schedule BID...even if your patient takes a loop diuretic once daily at home.
But this is a wide range. Choose your starting point based on the patient's adherence, BP, renal function...and symptom severity.
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