A 62-year-old woman with heart failure and persistent volume overload despite loop diuretic therapy presents with sodium 136 mmol/L, potassium 4.4 mmo...

Question

A 62-year-old woman with heart failure and persistent volume overload despite loop diuretic therapy presents with sodium 136 mmol/L, potassium 4.4 mmol/L, and creatinine 1.2 mg/dL. What is the next best step in management?

Accepted Answer

Add a thiazide-type diuretic (sequential nephron blockade) short-term

Answer

Add an NSAID for edema

Answer

Stop the loop diuretic

Answer

Start IV fluids

Answer

Increase salt intake

us-abim MCQ (SBA): HFrEF (diuretic resistance)

A 62-year-old woman with heart failure and persistent volume overload despite loop diuretic therapy presents with sodium 136 mmol/L, potassium 4.4 mmol/L, and creatinine 1.2 mg/dL. What is the next best step in management?