Abstract
Heart failure is a complex condition to manage and patients often have more than one comorbidity. There is a wealth of evidence for treatment of heart failure as a condition but a paucity of evidence for diuretic therapy and symptom control. This case study reflects the complexities of symptom management and decision-making in a patient with heart failure reduced ejection fraction, chronic kidney disease and hyponatraemia. This article considers the evidence base for diuretic therapy in this patient group and reviews non-pharmacologic interventions.
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