Diuretic Resistance

There's really no clear one-size-fits-all based on the data, but I will tell you from the guidelines, this is kind of what they recommend. Starting with that serial doubling of the IV loop diuretics to hopefully cross that diuretic feeling. After that, we have our sequential nephron blockade with a psi of dyes. If you get better diuretic, good results overall and it's really guideline indoors. And then sometimes it's as simple as adding some ironotropy and increasing the squeeze from that heart.