2. Oedema Flashcards
What is oedema
Oedema is the build-up of fluid in the body’s tissues making them puffy and swollen. Oedema can affect any part of the body, but because gravity makes fluid fall downwards, the feet and ankles are most frequently affected
When is best to take meds for oedema
Morning
Oedema
Tx
Loop diuretic
Bumetanide (most potent) BD
Furosemide (Can cause gout, hyperuricemia) OD
Torsemide (SE mucscle pain) BD
Loop diuretics
Treat which oedema best?
Pulmonary oedema
In HF & LVEF
OR
Resistant hypertension
What has to checked before meds started in oedema patients
Urine output
When is best to take dose ?
Looo diuretics?
4 pm
Loop diuretic CI
In men
Benign prostatic hyperplasia
Loop diuretics
And acute urinary retention
Most common men usually sue to enlarged prostrates
Urologic emergency ! 🔴
Loop diuretic
SE
🔴Ototoxicity ( tinnitus, deafness)
Dizziness; electrolyte imbalance; fatigue; headache; metabolic alkalosis; muscle spasms; nausea
Diuretics
Caution
Anuria; comatose and precomatose states associated with liver cirrhosis; renal failure due to nephrotoxic or hepatotoxic drugs; severe hypokalaemia; severe hyponatraemia
Hypotension, dehydration
Loop diuretics
Direction
1 hr onset & 6 hrs duration
Avoid these
Meds In renal impairment
DAMN
D diuretics
A Ace/ARB
M metformin
N NSAIDs
Thiazides
Indicated for
Hypertension
Mild heart failure
Oedema
List
thiazides diuretics
Chlorothiazide Chlorthalidone Hydrochlorothiazide Indapamide. Metolazone.
Which 2
THIAZIDE diuretics Are only given on alternate days
Why?
Chlortalidone 40-60hrs
Indapramide 16hrs
Due to long half-life