A patient with decompensated heart failure presents with peripheral edema, pulmonary congestion, and a mild serum sodium level of 132 mEq/L. Blood pressure is 100/68 mmHg, and IV furosemide has been initiated. What is the most appropriate next step in managing this hypervolemic hyponatremia?

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Biology · Human Physiology

Verified Solution4 OptionsUpdated: October 2026👁️1 View

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Restrict free water intake and monitor sodium levels while continuing loop diuretics

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Answer 1

Restrict free water intake and monitor sodium levels while continuing loop diuretics

Answer 2

Infuse 3% hypertonic saline to quickly correct sodium levels

Answer 3

Infuse 0.9% normal saline and continue furosemide

Answer 4

Add spironolactone to the treatment regimen

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