Heart Failure Treatment and Diuretics
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Questions and Answers

What is the primary indication for the use of diuretics?

  • Management of chronic refractory heart failure
  • Control of hypertension
  • Correction of electrolyte imbalance
  • Treatment of cardiogenic edema in CHF (correct)
  • What type of diuretic is furosemide?

  • K+-sparing diuretic
  • Thiazide diuretic
  • Osmotic diuretic
  • Loop-diuretic (correct)
  • What is a potential adverse effect of using diuretics?

  • Decreased heart rate
  • Excessive fluid and/or electrolyte losses (correct)
  • Increased potassium levels
  • Improved blood circulation
  • Which diuretic is absolutely contraindicated in hyperkalemic patients?

    <p>Spironolactone</p> Signup and view all the answers

    What is the effect of spironolactone on digoxin clearance?

    <p>Decreases digoxin clearance</p> Signup and view all the answers

    What is the primary goal of using furosemide in patients with cardiogenic edema?

    <p>To control edema and alleviate symptoms</p> Signup and view all the answers

    What is the potential benefit of using spironolactone in combination with other therapies for refractory heart failure?

    <p>Improving the overall outcome of chronic heart failure</p> Signup and view all the answers

    Why might thiazide diuretics be used in combination with furosemide for refractory CHF?

    <p>To enhance the diuretic effect of furosemide</p> Signup and view all the answers

    What is the primary concern when using spironolactone in patients with heart failure?

    <p>Increasing the risk of hyperkalemia</p> Signup and view all the answers

    What is the potential advantage of using K+-sparing diuretics like spironolactone in patients with heart failure?

    <p>Reducing the risk of hypokalemia</p> Signup and view all the answers

    Study Notes

    Diuretics in Heart Failure

    • Diuretics are indicated to control edema in Chronic Heart Failure (CHF).

    Furosemide

    • Furosemide is a loop-diuretic used to treat cardiogenic edema in animals.
    • Adverse effects of furosemide include excessive fluid and/or electrolyte losses.

    Spironolactone

    • Spironolactone is a K+-sparing diuretic used as adjunct therapy for chronic refractory heart failure.
    • Spironolactone is contraindicated in hyperkalemic patients.
    • Spironolactone may decrease digoxin clearance.

    Thiazide Diuretics

    • Thiazide diuretics, such as chlorothiazide or hydrochlorothiazide, are occasionally used in combination with furosemide and other therapy for refractory CHF.

    Diuretics in Heart Failure

    • Diuretics are indicated to control edema in Chronic Heart Failure (CHF).

    Furosemide

    • Furosemide is a loop-diuretic used to treat cardiogenic edema in animals.
    • Adverse effects of furosemide include excessive fluid and/or electrolyte losses.

    Spironolactone

    • Spironolactone is a K+-sparing diuretic used as adjunct therapy for chronic refractory heart failure.
    • Spironolactone is contraindicated in hyperkalemic patients.
    • Spironolactone may decrease digoxin clearance.

    Thiazide Diuretics

    • Thiazide diuretics, such as chlorothiazide or hydrochlorothiazide, are occasionally used in combination with furosemide and other therapy for refractory CHF.

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    Description

    This quiz covers the use of diuretics in treating heart failure, including loop-diuretics and K+-sparing diuretics, as well as their adverse effects.

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