DrVirgo
Forum Hero
Topics: 1096
Posts: 3,514
|
31. An 82 year old woman with a history of rheumatic heart disease develops congestive heart failure. Physical examination reveals peripheral edema. Laboratory studies show a creatinine clearance of (CrCl) of 17 ml/min. Which of the following diuretics would be most appropriate in this patient?
A. Furosemide
B. HCTZ
C. Indapamide
D. Spironolactone
E. Triamterine
Please explain WHY! Thanks. 
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
| robin082006
Forum Hero
Topics: 471
Posts: 5,125
|
A
This patient has CHF+edema so Furosemide is the best among diuretics.
___________________
The Key to Succeed is Patience.
|
| leen
Forum Guru
Topics: 79
Posts: 294
|
A??
|
| DrVirgo
Forum Hero
Topics: 1096
Posts: 3,514
|
Explanation is:
Loop diuretics are effective down to a Cr. CL of 10.
Thiazides and K-sparing are effective down to a Cr. CL of 40.
So answer is a loop- Furosemide. (A)
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
|
|
| |
| | | | |
