A 64-year-old with heart failure and persistent fluid overload on furosemide 80 mg daily has eGFR 45. What diuretic strategy can enhance natriuresis?...

Question

A 64-year-old with heart failure and persistent fluid overload on furosemide 80 mg daily has eGFR 45. What diuretic strategy can enhance natriuresis?

Accepted Answer

Add thiazide-like diuretic (e.g., metolazone/indapamide) cautiously

Answer

Switch to spironolactone alone

Answer

Stop diuretics

Answer

Add mannitol

Answer

Reduce furosemide

mrcp part 1 MCQ (SBA): Refractory fluid overload