A 66-year-old with HFrEF and persistent volume overload despite loop diuretic has hyponatremia (Na 128). Next best step?...

Question

A 66-year-old with HFrEF and persistent volume overload despite loop diuretic has hyponatremia (Na 128). Next best step?

Accepted Answer

Increase loop diuretic, consider sequential nephron blockade cautiously

Answer

Add thiazide diuretic routinely

Answer

Start vasopressin receptor antagonist immediately

Answer

Restrict fluids aggressively to 500 mL/day for all

Answer

Stop GDMT to raise sodium

us-abim MCQ (SBA): Heart Failure (Congestion)