A 61-year-old with HFrEF and persistent congestion is admitted. What inpatient diuretic strategy is guideline-supported?...

Question

A 61-year-old with HFrEF and persistent congestion is admitted. What inpatient diuretic strategy is guideline-supported?

Accepted Answer

Initiate IV loop diuretic (bolus or infusion) titrated to decongest; monitor renal function and electrolytes

Answer

Switch to thiazide monotherapy

Answer

Restrict fluids only; avoid diuretics

Answer

Start ACE inhibitor only

Answer

Immediate ultrafiltration in all cases

us-abim MCQ (SBA): Acute Decompensated Heart Failure