Question

A 68-year-old with chronic HF is admitted for volume overload. Outpatient furosemide is 40 mg PO BID. What initial IV loop diuretic dosing strategy is recommended?

Accepted Answer

IV furosemide 80-100 mg every 12 h (1-2.5x home daily dose)

Answer

IV furosemide 20 mg once

Answer

IV furosemide 40 mg once daily

Answer

IV furosemide 40 mg every 12 h (equal to oral total)

Answer

Switch to thiazide monotherapy

Practice question

A 68-year-old with chronic HF is admitted for volume overload. Outpatient furosemide is 40 mg PO BID. What initial IV loop diuretic dosing strategy is recommended?