Furosemide vs AKI poll

For educational purposes ONLY.

Patient with AKI - improving.

Pre renal AKI - unknown heart function. Given >35ml/kg/hr fluid in a fast bolus

Sudden onset pulmonary oedema and driven into T1RF (PO2 6 on BG) But only requiring 2-4L of O2 (your consultant and NIC laughs and mocks saying trivial)
Fluid status ++++ positive balance, hypervolemic, jvp raised, oedematous slightly.

CXR shows enlarged heart but no history of HF.

But patient has AKI.

Doctors, what would you do?

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