Yulia
Forum Elite
Topics: 19
Posts: 240
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Which diuretics would be the appropriate in following situations:
1. 80 y.o. Pt with CHF and creatinine clearance of 20 mL/min
2. HTN+Diabetes
3. Pt w/HTN + Hx of Ca oxalate renal stones
4. ASA overdose
5. HTN+Visual changes
A. Acetazolamide
B. HCTZ
C. Triamterene
D. Furosemide
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| rajeev
Forum Junior
Topics: 5
Posts: 62
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the dude with CHF .... lasix and the Ksparing
renal stones ... hydrochlorthiazide
HT and DM .. l ..i thought ace inhibitors are drus of choice .
what abt asa overdose .. i thought acetazolamide induces a metabolic acidosis ?
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| Yulia
Forum Elite
Topics: 19
Posts: 240
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HTN + DM if you have to pick a diuretic, go for a k-sparing, others can increase demand for insulin. I am not saying it's a drug of choice 
ASA overdose - you want to get rid of acid drug- need to alkalinize urine - therefore the choice of diuretic would be acetazolamide in this case.
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| rajeev
Forum Junior
Topics: 5
Posts: 62
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yeah .. how stupid of me ..
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