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April 28, 2025 22 mins

In this episode, we kick off our deep dive into heart failure treatment, starting with a fundamental goal: achieving ideal volume status. Managing fluid overload is crucial for symptom control and preventing hospitalizations — and today, we’re unpacking how to do it effectively.

We'll cover:

  • Dry Weight: What it is, why it matters, and how to determine it.

  • Fluid Restriction: When and why.

  • Loop Diuretics: A comparison of the "Big 3" — Furosemide, Torsemide, and Bumetanide — including dosing strategies and absorption differences.

  • Common Adverse Effects: Hypokalemia, renal function changes, and hypotension — what to monitor and how to respond.

  • Potassium Supplementation: Should you start it preemptively when initiating a loop diuretic?

🔔 Stay tuned: In future episodes, we’ll continue walking through each major medication class used in heart failure management.

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