Question

A 64-year-old admitted with dyspnea has cardiomegaly and pulmonary edema. HFrEF (EF 25%). Home furosemide 40 mg daily. What initial IV loop diuretic dosing strategy is recommended for acute decompensated HF?

Accepted Answer

IV furosemide 80-100 mg (approx. 2-2.5x home dose) with reassessment

Answer

IV furosemide 10 mg once

Answer

IV furosemide 40 mg once (same as home)

Answer

Switch immediately to dialysis

Answer

Oral torsemide 20 mg and observe

Practice question

A 64-year-old admitted with dyspnea has cardiomegaly and pulmonary edema. HFrEF (EF 25%). Home furosemide 40 mg daily. What initial IV loop diuretic dosing strategy is recommended for acute decompensated HF?