![]() For example, I have also seen dogs with laryngeal paralysis have elevated NTproBNP levels. Causes other than left sided heart failure can cause elevated NTproBNP levels such as pulmonary hypertension. If you use too low of a dose and they donʼt respond, you wonʼt know if they didnʼt respond because they werenʼt actually in heart failure, or if your dose was just too low.ġ) Donʼt start a dog on furosemide just because the NTproBNP level is elevated, even if they are coughing or having respiratory distress. This is indicated to ensure continued tolerance to the medication.ģ) When performing a furosemide trial, a dose of 2 mg/kg of furosemide PO BID is recommended. This is necessary to establish a baseline for which to assess renal function and tolerance and response to therapy.Ģ) Any time the furosemide dose is increased, a renal panel with electrolytes should be performed. Here are some general “DOs and DONʼTs” for Furosemide use.ġ) Prior to prescribing furosemide, a renal panel with electrolytes and a urine specific gravity should always be performed. It is also, unfortunately commonly misused. Janet Olson, DACVIM (Cardiology) of Veterinary Cardiology Specialists in Minneapolis, MN for this great VETgirl guest blog! Here, she discusses the appropriate and inappropriate uses of furosemide, the diuretic (commonly called Lasix in North America).įurosemide is the most common medication used in dogs with confirmed heart failure.
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