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Monday, July 16, 2018

Furosemide Stress Test

PulmCrit (EMCrit)
PulmCrit - July 16, 2018 - By Josh Farkas
"Summary The Bullet:
  • The furosemide stress test (FST) is a protocolized furosemide challenge, which has been shown to predict whether patients are likely to progress towards advanced AKI and dialysis.
  • Critically ill patients commonly develop oliguria due to severe intrinsic AKI. In this situation, ongoing efforts to elicit urine output through repeated fluid boluses or other hemodynamic manipulations is generally futile and potentially harmful.
  • FST could conceivably be utilized among patients with persistent oliguria despite initial resuscitation, to facilitate early identification of patients with severe intrinsic renal failure in whom urine output is an unreliable measurement of tissue perfusion."