INITIATION

• Fluid restriction ( 1-1.5L/d )
• Sodium restriction ( < 2gm/d )
• Underlying renal dysfunction
• Current or past diuretic use
• Non-adherence
• Other preciptiant of fluid retention:
  • -NSAIDS, glitazones, increase beta-blocker dose
  • -Dietary sodium load
• Co-morbidities: elderly
• Worsening HF: acuity

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