A 70-year-old woman with HFrEF is admitted with volume overload and hyponatremia 128 mEq/L. What diuretic strategy is recommended initially?...

Question

A 70-year-old woman with HFrEF is admitted with volume overload and hyponatremia 128 mEq/L. What diuretic strategy is recommended initially?

Accepted Answer

Increase IV loop diuretic dose guided by response

Answer

Add thiazide only

Answer

Stop loop and use vasopressin antagonist

Answer

Fluid restrict to 500 mL without diuretics

Answer

No diuretics due to hyponatremia

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