Table 3.

Diuretic Adjustment Algorithm

Instructed adjustment	Instructed adjustment	Prescribed loop diuretic dose and frequency	Instructed Adjustment	Instructed Adjustment
Low Red Zone	Low Yellow Zone	Green Zone	High Yellow Zone	High Red Zone
Weight 8# or less than target	If Weight is 4–7# Less than target	Target weight +/- 3 lbs (Euvolemic)	If Weight 4–7 # More than target	Weight 8# or more Above target
nothing	nothing	20 mg qd	20 mg bid	20 mg bid
nothing	20 mg qd	20 mg bid	40 mg bid	40 mg bid
nothing	20 mg qd	40 mg qd	40 mg bid	40 mg bid
nothing	40 mg qd	40 mg bid	80 mg bid	80 mg bid
nothing	40 mg qd	80 mg qd	80 mg bid	80 mg bid
nothing	half dose qd	> 80 mg qd	> 80 mg bid	> 80 mg bid
nothing	80 mg qd	80 mg or more bid	80 mg bid, thiazide 25 mg qd*	80 mg bid, thiazide 25 mg qd*
nothing	160 mg qd	160 mg bid	160 mg bid, thiazide 25 mg qd*	160 mg bid, thiazide 25 mg qd*
Alternative schedule if Physician prefers diuretic doubled in one does vs. two
Nothing	nothing	20 mg qd	40 mg qd	40 mg qd
Nothing	20 mg qd	40 mg qd	80 mg qd	80 mg qd
Nothing	40 mg qd	80 mg qd	160 mg qd	160 mg qd
nothing	80 mg qd	160 mg qd	160 mg bid	160 mg bid