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For nonresponders, a loop diuretic may also be added and generally, furosemide is added at a dose of 40 mg/day (max 160 mg/day),. (bumetanide or torasemide).Intravenous furosemide is generally the first line. If high doses of furosemide are inadequate, boluses or continuous infusions of bumetanide may be preferred.
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Guidelines for the Evaluation and Management of Heart Failure. renal perfusion may ultimately favor the use of a loop diuretic such as furosemide or bumetanide.
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