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Clinical Teaching in Heart Failure
The goal of getting some sort of formulaic approach, which forces people to ensure that you can achieve natriyreces and diuresis, is laudable. On the other hand, we just had last week here a woman who died from hypokalemia after she was put on mettolezone because she just started peeing out so much. I'll get on my soapbox. If our guidelines currently say a thiazide is a preferred agent based on experience in clinical expertise, maybe the nephrologists can tell me why?