Case Report
Triple Diuretics and Aquaretic Strategy for Acute Decompensated Heart Failure due to Volume Overload
Table 1
Diuretics’ protocol: doses of furosemide and metolazone were titrated based on urine output; spironolactone dose was titrated to maintain a serum potassium of 4–4.5 mmol/L (mEq/L); tolvaptan dose was titrated to maintain a serum sodium of 131–139 mmol/L (mEq/L) (based on the initial value, maximum correction was 6–8 mmol/L (mEq/L) and not to exceed 139 mmol/L (mEq/L) in 24 hours).
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