As last resort therapy we sometimes combine loop diuretics, thiazides, MRA and acetazolamide. You should definitely be cautious of hypokalemia and look for acidosis prior to giving AZT. But we do see patients finally achieve a negative fluid balance after a short trial of this combination🙌🏻🌊

We're in the NYTimes💪🏻 Finally people will google what a "nephrologist" is😅

Thank you, that is my approach as well! Our lab values of potassium consider 5.5 normal range, so I was confused by this dosing scheme... it was even presented at ESC 22.

Moreover, it's a transition from relative risk (heatmap) to an individual absolute risk

This is my roman empire🫶🏻

This is truly amazing! We need one from the Fearless era with a fringe dress🥰