Delayed Renal Allograft Function and Furosemide Treatment

Inclusion Criteria: * Age ≥ 18 years * Patient with ESRD who has been on RRT (Hemodialysis or Peritoneal dialysis) * Recipient of deceased donor kidney transplant * Urine output less than 0.5 mL/kg/h before transplant * Patient consents to the study * Patient is not allergic to furosemide or sulfa * English or Spanish speaking patient * Patient is oliguric (urine output less than 0.5mL/kg/h, as per AKIN criteria) or anuric (urine output less than 10 mL in 6 hours post-transplant or 2 mL/h) in the first 6 hours post kidney transplant Exclusion Criteria: * Recipients of a living donor kidney transplant * Patients who do not consent for the study * Patients age \<18 years * Patients who are allergic to furosemide or sulfa containing medications * Non-oliguric patients * Patients who require immediate dialysis within 6 hours of the transplant (before enrollment) * Patients with renal ischemia due to vascular compromise that has been confirmed with Doppler Ultrasound right after transplant as per standard of care * Patients who return to the operating room due to complications within 24 hours * Simultaneous multi-organ transplant recipients * Hypotensive patients with BP \<90/60 or MAP \<60 mmHg * Patients who are on vasopressors at any time during study period * Non-English or Spanish speaking patient