Refractory edema and diuretics
WebJul 5, 2024 · When edema is massive, and the excess fluid accumulation is widely distributed, the patient is said to have anasarca. Edematous patients generally respond to the combination of dietary sodium restriction, treatment of the underlying disease process, and diuretic therapy, usually with a loop diuretic. WebJun 1, 2005 · Treatment of edema consists of reversing the underlying disorder (if possible), restricting dietary sodium to minimize fluid retention, and, usually, employing diuretic …
Refractory edema and diuretics
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WebApr 1, 2011 · Refractory edema is defined as peripheral edema that does not respond to dietary sodium restriction and combined diuretic treatment including a loop diuretic, often caused by an evident underlying cardiac or pulmonary condition. We present a case of refractory edema, which remained unexplained until a hidden intrarenal arteriovenous ... WebThe most frequently chosen management is based on combined decongestive physiotherapy or pharmacotherapy (with diuretics or steroids). Subcutaneous lymphatic drainage in refractory edema may decrease the swelling, prevent spontaneous lymphorrhea, but also increase the risk of infection.
WebThey are usually the first-line diuretics used,84 85 either alone or in combination with a loop diuretic such as furosemide (causing sodium to flood more distal nephron sites).86 Spironolactone appears to be more effective (response rate of 95%) than furosemide (response rate of 52%) in non-azotemic patients with cirrhosis and ascites.87 88 ... WebThe mainstay of diuretic therapy for patients with cirrhosis who have edema is spironolactone, because secondary hyperaldosteronism is an important cause of sodium and water retention in such...
WebJul 5, 2024 · DEFINITION OF REFRACTORY EDEMA; CAUSES OF REFRACTORY EDEMA. Inadequate diuretic dose or frequency; Decreased oral diuretic absorption; Decreased loop diuretic tubular secretion; Enhanced tubular sodium reabsorption; High salt intake; … WebDiuretic drugs are widely used for the treatment of patients with edema. Among these drugs, loop diuretics such as furosemide are perhaps the most frequently prescribed, and their …
WebNov 22, 2012 · Diuretic resistance is encountered in a number of disease states, such as chronic renal failure, nephrotic syndrome, congestive heart failure (CHF) and cirrhosis. Diuretic stratagems which produce sequential nephron segment blockade, and thus a synergistic diuretic response, are frequently necessary and are regularly employed in … coventry jr high sch 6cWebOct 13, 2016 · Edema is defined as an abnormal accumulation of fluid in the interstitial space of the body. Edema is the reason for visiting the doctor, and for a careful differential diagnosis. Various diseases (renal, cardiac, hepatic, thyroid glands and others) may be causative (summarized in Tab. II). Table II List of the diseases, presenting with edema coventry junior cash isa 1WebOct 16, 2014 · Abstract. Generalized edema occurs secondary to many clinical disorders; the usual management of edema is the using of diuretics. Diuretic resistance means … briarwood healthcare center schaumburg ilWebDiuretic resistance is encountered in a number of disease states, such as chronic renal failure, nephrotic syndrome, congestive heart failure (CHF) and cirrhosis. Diuretic … coventry jcpWebAug 2, 2016 · Diuretics, especially loop diuretics, remain a valid therapeutic alternative. Fluid overload refractory to medical therapy requires the application of extracorporeal therapies. In critically ill patients, fluid overload is related to increased mortality and also lead to several complications like pulmonary edema, cardiac failure, delayed wound ... briarwood health care denverWebShowing results for diuretic resistance Causes and treatment of refractory edema in adults …100 to 120 mmol in 24 hours also suggests that the diuretic response is adequate since true diuretic resistance is manifested by intense renal sodium retention. Confirm that the patient requires a reduction … Use of diuretics in patients with heart failure coventry jewelryWebregimen in patients with diuretic refractory edema.5 The investigators studied 24 patients who were initially considered to be refractory to large doses of conventional loop … coventry junior isa application form