Recommended doses of diuretics for cardiorenal syndrome in adults with acute decompensated heart failure

Baseline (eg, outpatient) dose		Suggested dose
Furosemide or torsemide (per day)	Thiazide	Furosemide or torsemide (per day)	Thiazide
≤80	None	40 mg IV bolus followed by 5 mg/hour infusion	None
81 to 160	Any	80 mg IV bolus followed by 10 mg/hour infusion	5 mg metolazone once daily
161 to 240	Any	80 mg IV bolus followed by 20 mg/hour infusion	5 mg metolazone twice daily
>240	Any	80 mg IV bolus followed by 30 mg/hour infusion	5 mg metolazone twice daily

Failure of the suggested dose to induce adequate diuresis should prompt escalation to the next level of dosing.

IV: intravenous.

Original figure modified for this publication. From: Grodin JL, Stevens SR, de Las Fuentes L, et al. Intensification of medication therapy for cardiorenal syndrome in acute decompensated heart failure. J Card Fail 2016; 22:26. Table used with the permission of Elsevier Inc. All rights reserved.

Graphic 121128 Version 1.0

خرید پکیج

Recommended doses of diuretics for cardiorenal syndrome in adults with acute decompensated heart failure