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0:46
Diuretics for Swelling? Think Again!
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What if you could remember where #diuretics act by just following the nephron? #pharmacology
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The GOLD STANDARD Diuretic for CLD with Ascites! 💧🥇 A patient with Chronic Liver Disease (CLD) and portal hypertension presents with significant edema and ascites. Your first thought for diuretics might be Lasix or Dytor, right? Think again – that's not the best initial approach! 🙅♂️ 💡 The Pathophysiology & The Right Drug: In CLD, the Renin-Angiotensin System (RAS) is heavily activated. This leads to excessive sodium and water retention, exacerbating edema and ascites. Simply giving a loop
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– Diuretics– Diuretics are used to treat fluid volume overload & pull excess fluid from the body. Heart failure is an example of a diagnosis which these are used for! –You can think of the 3 D’s of Diuretics – *Decrease blood pressure (BP) *Diurese the body *Dehydrate the body And additionally, we want to administer these (ideally) in the Daytime! No, we won’t always have this option in the clinical world with orders, but it’s important to note for the NCLEX and as a medication fact. Since diure
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–Diuretics Explained – Diuretics are drugs used to manage hypertension, fluid volume excess, and to help rid the body of unwanted fluid. It’s crucial to know the differences between each type, as they can create electrolyte imbalances in your patient. Loop diuretics → are potassium (K ) wasting, meaning the body loses this electrolyte when it loses the fluid. Patients are at risk for hypokalemia or low potassium levels. Thiazide Diuretics → are also potassium (K ) wasting. You can remember this
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