[Why] is furosemide susceptible to malabsorption from "gut edema"?
When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO."
It's a comment unique to furosemide.
But is it accurate?
[Why] is furosemide susceptible to malabsorption from "gut edema"?
When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO."
It's a comment unique to furosemide.
But is it accurate?
If you're on any of these you're more sensitive to the heat. Make sure you drink water, stay in the shade, and avoid over-exertion.
If you're on any of these you're more sensitive to the heat. Make sure you drink water, stay in the shade, and avoid over-exertion.
pubmed.ncbi.nlm.nih.gov/41802270/
Diuretic resistance is mostly inadequate furosemide dose. Torsemide not needed™️
(Incidence of deafness 🧏🏽♂️ not reported)
pubmed.ncbi.nlm.nih.gov/41802270/
Diuretic resistance is mostly inadequate furosemide dose. Torsemide not needed™️
(Incidence of deafness 🧏🏽♂️ not reported)
Decompensated congestive heart failure is often managed acutely with IV loop diuretics (e.g., furosemide infusion) to off‑load fluid."
Decompensated congestive heart failure is often managed acutely with IV loop diuretics (e.g., furosemide infusion) to off‑load fluid."
J'utilise préférentiellement le bumétanide dont la biodisponibilité est stable est proche de 100% et surtout n'est pas influencée par l'alimentation
J'utilise préférentiellement le bumétanide dont la biodisponibilité est stable est proche de 100% et surtout n'est pas influencée par l'alimentation
• Bump furosemide from 20 to 60 mg bid IV
• Consider rapid resumption of sacubitril/valsartan and empagliflozin. Let's not treat these life saving medications as nephrotoxins.
• Bump furosemide from 20 to 60 mg bid IV
• Consider rapid resumption of sacubitril/valsartan and empagliflozin. Let's not treat these life saving medications as nephrotoxins.
“It’s in the chart!”
The chart:
Furosemide 40mg
Lasix 80mg
Atorvastatin 40mg
Clonidine 0.1mg
Carvedilol 12.5mg BID
Labetalol 200mg BID
Bumex 2mg
Nifedipine 90mg BID
Metolazone 5mg
Spironolactone 25mg
Famotidine 20mg BID
Bumetanide 1mg
Labetalol 100mg BID
“It’s in the chart!”
The chart:
Furosemide 40mg
Lasix 80mg
Atorvastatin 40mg
Clonidine 0.1mg
Carvedilol 12.5mg BID
Labetalol 200mg BID
Bumex 2mg
Nifedipine 90mg BID
Metolazone 5mg
Spironolactone 25mg
Famotidine 20mg BID
Bumetanide 1mg
Labetalol 100mg BID
Le con
Le con
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