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A 41-year-old male asked:

Treatment of heart failure and hypotension.can i give lasix (furosemide)?

2 doctor answers6 doctors weighed in
Dr. Calvin Weisberger
53 years experience
Lasix (furosemide): Depending on the operative physiology, diuresis may be effective therapy for CHF with hypotension.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. David Brouwer
Internal Medicine 32 years experience
Tricky : Heart failure in the setting of low blood pressure is challenging. Diuretics like Lasix (furosemide) can be used but support of the cardiac output is essential. Acute care is usually in the ICU with IV meds. Chronic heart failure managed as an outpatient with diuretics, ace inhibitors, and other cardiac meds requires close follow-up of blood pressure, electrolytes, and kidney function.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Nancy Mellow
Internal Medicine 46 years experience
In heart failure, there is often extra fluid in the body that isn't being pumped by the heart to the kidneys (to be excreted) because it is often in the tissues,not in the blood vessels, and the heart doesn't pump well. But using a diuretic may also result in less fluid in the blood vessels ( with even lower blood pressure). So diuretics must be carefully monitored. They are very helpful when someone is very short of breath because of extra fluid in the lungs, along with other medications.
Aug 16, 2013
Last updated Jul 27, 2019

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