QuestionSBA
QuestionChoice
An echocardiogram may form a part of monitoring his heart function in the long term and may be performed during this admission if it has not been done for a while, however it will not show effective the furosemide is working.
10028528
b
Echocardiogram
QuestionChoice
Daily weights should be part of any inpatient diuresis management plan as reduction in weight suggests effective treatment.
10028527
a
Weight
QuestionChoice
A BNP blood test may be valuable in diagnosis of heart failure however it will not specifically or accurately measure furosemide efficacy in the same way that daily weights would.
10028531
e
NT-proBNP test
QuestionChoice
Blood pressure can be affected my various factors and is not a good marker of furosemide efficacy.
10028529
c
Blood pressure
QuestionChoice
Although imaging may form a part of diagnosing an exacerbation of heart failure, and may be done at intervals to assess progress, this would be with a chest x-ray rather than a CT scan.
10028530
d
CT Thorax
Concept
Chapter
2693
6083
Diuresis monitoring
Topic
326
Medicine
18108
Case Presentation: A 91-year-old man attends A&E with worsening shortness of breath and pitting oedema to both knees.


**PMH** Congestive cardiac failure, Hypertension, Type 2 Diabetes

**DH** Ramipril 5mg PO OD, Furosemide 20mg PO OD, Bisoprolol 2.5mg PO OD, Metformin 500mg PO BD

She is admitted to the acute medical ward and commenced on Furosemide 40mg IV PO.

Question: Select the most appropriate monitoring option to assess efficacy of this treatment during his admission.
a