Therapeutics: diuretic & fluid balance: based on disease state

Which diuretic is best for cirrhosis?

• furosemide

• spironolactone

• Diamox

Answer explanation

can add a HCTZ if CrCl is >50. then a loop if need more.

If CrCl is <50 can immediately add a loop to help.

Which diuretic is best for nephrotic syndrome?

• furosemide (Laxis)

• Eplerenone (Inspra)

• Acetazolamide (Diamox)

Answer explanation

if no response, add HCTZ.

If albumin is <2 start with furosemide + HCTZ

In CHF what are the two options of diuretics?

• CAI

• HCTZ

• loops

• K sparing

In CHF, if ejection fraction is <30% which diuretic do you start with?

• Loop

• HCTZ and/or spironolactone

In CHF, if ejection fraction is >30% which diuretic do you start with?

• Loop

• HCTZ and/or spironolactone