Question

A 70-year-old woman with chronic HFrEF takes furosemide 40 mg PO twice daily at home. She is admitted with an acute decompensation. What is the most appropriate initial IV loop diuretic dosing strategy?

Accepted Answer

Furosemide 80 mg IV twice daily

Answer

Furosemide 20 mg IV once and reassess

Answer

Furosemide 40 mg IV once then hold if urine output >100 mL/h

Answer

Furosemide continuous infusion 2 mg/h without bolus

Answer

Torsemide 10 mg PO twice daily

Practice question

A 70-year-old woman with chronic HFrEF takes furosemide 40 mg PO twice daily at home. She is admitted with an acute decompensation. What is the most appropriate initial IV loop diuretic dosing strategy?