A Study of Ultra High Dose Diuretics to Treat Heart Failure

Inclusion Criteria: * Diagnosis of decompensated heart failure receiving intravenous diuretics * Ability to provide informed consent Exclusion Criteria: * Patients on home inotrope medications * Patients with Chronic Kidney disease stage V and end stage renal failure on dialysis * Patients lacking the capacity to consent for themselves * Known pregnancy or breastfeeding mothers * Complex congenital heart disease * Allergy to furosemide or bumetanide * Respiratory failure requiring non-invasive ventilation (CPAP/BiPAP) or invasive mechanical ventilatory support at the time of randomization * Hypotension with systolic blood pressure \<80 mm Hg at the time of randomization * Acute coronary syndrome * Sustained Ventricular tachycardia requiring treatment in the last 48 hours * Patients weighing ≤ 40 kg