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Heart failure deterioration — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsHeart failure deteriorationGPhC CRA

A 74-year-old man with heart failure asks for advice because his weight has risen by 3 kg in four days. He is more breathless when lying flat and is taking furosemide 40 mg each morning. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Contact the prescriber or heart failure team urgently for same-day review

Rapid weight gain and orthopnoea suggest fluid overload requiring prompt clinical assessment. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; NICE CKS