DIURETIC

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DIURETIC

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6 Posts

suv
Forum Elite

Topics: 43
Posts: 233

08/08/06 - 01:45 PM

A 19yr old woman is brought to the ER following a crush injury when a dumpster landed on her lower body.during her hospitalization she develops reddish urine and her creatinine levels rise from 1 to 4 mg / dl.she also develops edema globally.her physician decides to prescribe a diuretic to allieviate her edema and minimise furthur damage to the kidneys from her myoglobulinemia.which of the following diuretics is contraindicated in this case?
A. Acetazolamide
B. furosemide
C. hydrochlorthiazide
D. Mannitol
E.Spironolactone

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vallia
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Topics: 98
Posts: 889

08/08/06 - 02:14 PM

E

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suv
Forum Elite

Topics: 43
Posts: 233

08/08/06 - 02:15 PM

can u explain please?
thanks

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ts97
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Topics: 15
Posts: 135

08/08/06 - 02:31 PM

Is there something related to pH of urine?

vallia
Forum Guru

Topics: 98
Posts: 889

08/08/06 - 02:31 PM

in rhabdomyolysis we have myoglobinuria and also increase levels of plasma K, phosphate, uric acid. So it is contraindicated a K sparring diuretic which will worsen the hyperkaliemia.

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suv
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Topics: 43
Posts: 233

08/08/06 - 02:52 PM

thanks and mannitol is contraindicated in anuria

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