A 65-year-old man with heart failure presents with worsening dyspnoea and ankle swelling. He is on furosemide 40 mg OD. His eGFR is 50 mL/min/1.73m². ...

Question

A 65-year-old man with heart failure presents with worsening dyspnoea and ankle swelling. He is on furosemide 40 mg OD. His eGFR is 50 mL/min/1.73m². What is the most appropriate next step?

Accepted Answer

Add spironolactone 25 mg OD

Answer

Increase furosemide to 80 mg OD

Answer

Add bisoprolol 2.5 mg OD

Answer

Refer for echocardiography

Answer

Switch to bumetanide 1 mg OD

ukmla MCQ (SBA): Heart Failure

A 65-year-old man with heart failure presents with worsening dyspnoea and ankle swelling. He is on furosemide 40 mg OD. His eGFR is 50 mL/min/1.73m². What is the most appropriate next step?