How do you decide on an outpatient maintenance diuretic regimen for patients approaching discharge for ADHF?   

Good question. More from my personal observational experience. I reduce the dose to minimal once the patient is well compensated clinically and other pillars are tolerated well. If the SGLT2i, ARNI, and beta blockers are already on board and the patient coming off the IV lasix, I will add low-dose...

There is a lot of complexity involved in these situations. The first thing to consider is the chronicity of the disease. If the patient has recently developed heart failure and has relatively healthy kidneys, they will likely respond well to a low dose of oral loop diuretic after decongestion. Howev...