Which of the following is the most appropriate action? A. Switch thiazide to furosemide B. No change to his medication C. Add a beta-blocker D. Stop ramipril
Understand the Problem
The question presents a clinical scenario involving a patient with progressive edema and diabetes. It asks for the most appropriate action based on the provided medical history and lab results.
Answer
A. Switch thiazide to furosemide.
The final answer is A. Switch thiazide to furosemide.
Answer for screen readers
The final answer is A. Switch thiazide to furosemide.
More Information
The patient is experiencing significant lower limb edema and has a creatinine clearance indicating impaired kidney function. Switching from thiazide diuretics to furosemide, a loop diuretic, can be more effective in such cases.
Tips
A common mistake is not adjusting the diuretic type according to the patient's renal function and edema symptoms.
Sources
- Diuretics in the management of chronic heart failure: when and how ... - pmc.ncbi.nlm.nih.gov
- Diuretics use in the management of hypertension - ScienceDirect.com - sciencedirect.com
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