Steps, advance through levels if no response or rapidly deteriorating kidney function
1. furosemide po qd/bid at 0800, 1400
2. furosemide iv, same dose, qd/bid at 0800, 1400
3. furosemide bid, + metolazone at 0730
4. furosemide drip + metolazone at 0730
Achieves good diuresis with lower total dose.
Start at 5mg/hr.
Can preserve kidney function.
5. furosemide + spironolactone
Content on this page has not been checked for accuracy. The author's credentials have not been confirmed. Always use multiple peer-reviewed scholarly sources and good clinical judgement in your decision making.
The Compendium platform was created by David Kwinter, MD, CCFP(EM).
Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.
Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.