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#292 Acute Heart Failure, CHF Triple Distilled

The Curbsiders Internal Medicine Podcast

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What's Your Favorite Pearl From This Section?

Beth: I really liked her expert opinion about fluid and sodium. She recommends doing two leaders fluid restriction and two grams sodium diet. Paul: Having no evidence and some evidence that it doesn't work, we really shouldn't do this. And i think she also made the point that if that's what you're thinking about doing, then you've not sufficiently titrated their medications correctly. Beth: The manoeuvre is not to give one diaretic and they don't make your patient feel better but to increase the actual dose rather than just giving them a higher frequency of treatment.

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