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If patients are already receiving loop diuretic therapy, the initial intravenous dose should equal or exceed their chronic oral daily dose. (Level of Evidence: C). The Hospitalized Patient Treatment With Intravenous Loop Diuretics New A Report of the ACCF/ AHA Task Force on Practice Guidelines The Hospitalized Patient Intensifying the Diuretic Regimen New When diuresis is inadequate to relieve congestion, as evidence by clinical evaluation, the diuretic regimen should be intensified using either: a. higher doses of loop diuretics; b. addition of a second diuretic (such as metolazo