The Use of Diuretics
It has been established that pretreatment of the subject with vigorous hydration, osmotic diuretics, or loop diuretics protects the kidney from some forms of renal injury.
Accordingly, patients who will be exposed to potentially injurious stimuli such as radiocontrast dyes, vascular surgery, or nephrotoxic drugs should be maintained with high rates of urine flow and replete extracellular fluid volumes. The value of diuretics when administered after the injurious insult is controversial. Most studies indicate that diuretics do not alter the severity or the duration of ATN. Loop-acting diuretics, however, may convert oliguric ATN into a polyuric form. Some clinicians therefore advocate administration of a bolus dose of a loop-acting diuretic once the diagnosis is established. If the diuretic fails to induce a diuretic response, it is discontinued. Although the diuretics do not alter the course of ATN, it is generally easier to manage the polyuric as compared to the oliguric form of ATN.
- MICROSCOPIC ANATOMY
- Treatment and Prognosis
- ATHEROSCLEROSIS
- Multiple Myeloma
- Phenytoin
- Pulmonary System
- Focal Glomerular Sclerosis (FQS)
- CLINICAL PRESENTATION
- Radionuclide Imaging
- CHARACTERISTICS OF ABDOMINAL PAIN
- Sigmoidoscopy and Colonoscopy
- NORMAL GASTRIC PHYSIOLOGY
- Screening and Prevention
- Chronic Interstitial Nephritis
- ADAPTATION TO NEPHRON LOSS
- PERFUSION
- PENETRATING TRAUMA
- PERIPHERAL ANEURYSMS AMD FISTULAE
- RENAL METABOLISM Of DRUGS
- Urinary Tract Infection
- NORMAL ABSORPTION
- Amiodarone
- Hepatic Diseases
- Familial Polyposis of the Colon
- Membranous Glomerulopathy
- CAUSES OF PULMONARY HYPERTENSION
- Urinary Tract Obstruction
- Medicaid Reform Project
- Genitourinary System
- Urolithiasis
- PHYSIOLOGICAL EFFECTS OF PULMONARY HYPERTENSION ON CARDIAC FUNCTION
- DIAGNOSTIC APPROACH TO HEPATIC NEOPLASMS
- Reduction in GFR
- Resuscitation
- Diagnosis