In this episode, we explore an innovative approach to managing congestive heart failure (CHF) in the Emergency Department: the use of a patient-directed, weight-based sliding scale furosemide plan. This strategy empowers patients to adjust their diuretic dose based on daily weight changes, aiming to improve self-management, reduce ED visits, and prevent hospital admissions. We also examine the role of a sliding scale furosemide plan in enabling patients to proactively and promptly adjust their dose, helping to address and offset the burden on an overstretched healthcare system, particularly in emergency settings.