Aim: To determine the impact of a pharmacist intervention on
patienta??guided diuretic dose adjustment in ambulatory patients
with heart failure.
Method: Patients with heart failure were randomised to usual
care or usual care plus pharmacist intervention and followed
for 3 months. Pharmacist intervention focused on patients
improving self-care, recognising symptoms of fluid retention,
measuring weight daily and self-adjusting diuretic dose using
frusemide. The primary outcome was the number of appropriate
weight-titrated frusemide dose adjustments. Secondary
outcomes included the number of patients who correctly selfadjusted
their frusemide dose, hospital readmissions due to
fluid overload, heart failure-related knowledge and
understanding, and quality of life (using validated tools).