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Reply To: Furosemide cri’s for acute congestive heart failure

Scott Walker

Hi Liz,

Thanks for your reply.

I was under the impression that furosemide at a dose >12mg/kg/24hrs didn’t provide much additional effect. Is that incorrect?

I’m trying to work out a protocol that I’d switch to.

So far I have:

-Start with 2mg/kg IV
-Then start a cri at 1mg/kg/hr until rr <40bpm
(Is there a max time that you’d keep them on this rate?)
-Switch to intermittent bolus
-Switch to oral meds

If cri is superior, then why switch to intermittent bolus before oral meds?

I’ve not encountered precipitation with furosemide before. Could you possibly explain this?

Thanks again for your help