Question 1

ckd patient with hyponatremia.  is it safe to take 650 mg sodium bicarbonate with 40 mg lasix (furosemide) to prevent water retention?  is sodium bicarbonate renoprotective?

Accepted Answer

Depends: Bicarbonate (sodium bicarbonate (sodium bicarbonate)) is not reno-protective. However, high acid levels in the blood affect heart function, muscle function and kidney function. Reducing the blood acid level (seen by a rising bicarbonate (sodium bicarbonate) level or pH level) improves muscle function including the heart which improves kidney circulation. It also allows the kidneys to better control potassium levels. You can help the process by avoiding sodas!

Question 2

is 20 mg lasix (furosemide) appropriate daily maint dosage for ckd 4 to help with swelling due to proteinuria, or it should be as needed?  effects on kidney funct?

Accepted Answer

It may vary: The suggested dose may vary but when doses which exceed 80 mg/day are given for prolonged periods, careful clinical observation and laboratory monitoring are suggested. Please talk to the prescribing doctor about this.

Question 3

how effective is furosemide (lasix) for treating chronic kidney disease?

Accepted Answer

OK: Lasix (furosemide) is useful to manage the fluid overload and edema that go with kidney disease. It will also help keep potassium controlled and acidosis.

It helps with blood pressure and congestive heart failure, it is very commonly used in chronic kidney disease. It does not improved kidney disease but it helps keep you well with kidney disease

Question 4

ckd chf patient on fluid 1l restriction  bun 53, creatinine 2, going worse when on lasix (furosemide). at what bun am i too dehydrated/cause for high bun/c ratio?

Accepted Answer

Bun/creatinin ratio: Greater than 20 in the absence of GI bleeding usually indicate intra vascular volume depletion. If no peripheral edema discuss need for fluid restrictions with your doctor

Question 5

i am s/p bladder ca, diabetic, high bp, ckd, history of kidney abscess.with current issue of "ring" around kidney seen in lasix (furosemide) ultrasound. what now?

Accepted Answer

Lasix (furosemide) renogram: This is most likely Lasix (furosemide) renogram. Not an ultrasound. Purpose is to check individual function of each kidneys.

Question 6

im 65 with chf ckd, get side effects from lasix (furosemide) (hearing/hemoglobin loss,  hyperglyc, aplastic anemia).  any alternatives or tips to tolerate lasix (furosemide)?

Accepted Answer

There are substitute: Other drugs can be used as substitutes to Lasix (furosemide). Ask your doctor to give you an alternative medicine/s.

Question 7

any selective beta blocker alternatives to metoprolol xr for diabetic patients? also on lasix (furosemide) that causes hyperglycemia and ototoxicity? alternatives to ask cardiologist? any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?

Accepted Answer

Discuss with your MD: Metroprololxr is a good beta blocker&amp;is very well tolerated.There are other options but they are all have same action and side effects.Only Carvedilol is different as it is both alpha and beta blockerLasix is well tolerated. Can be ototoxic in high doses and if combined with other ototoxic drugs . Ototoxicity is rare. Aspirin is safe asking as no contraindications . Discuss your concerns with MD

Question 8

lasix is needed for chf/ckd fluid overload but causing burning during urination. should uti be suspected (finished antibiotic course).  should low dose antibiotic be considered if inflammation/uri is recurring?  will bumex work better in this case?

Accepted Answer

Need more informatio: This will need  urine evaluation and culture. That  information will help answer  your question.  Uncertain  lasix (furosemide) is the problem. You can discuss this with your physician.

Question 9

what are symptom of hyponatremia and how we can treat it?!?

Accepted Answer

Here are some to ...: First, always do best we can to figure out what cause hyponatremia. Second, decide if symptoms are urgent or chronic. If urgent, give IV infusion of Normal Saline or higher concentratee NaCl  under close monitoring clinical Sx &amp; electrolyte; if chronic, give optional IV NaCl infusion and watch. But either way &amp; conditions, always look into how to correct its underlying causes for long-term care...

Question 10

is it possible to treat pneumonia with lasix (furosemide)?

Accepted Answer

No: Lasix (furosemide) is a diuretic drug that causes increased urination and elimination of body water, sodium and potassium.  It is used to treat pulmonary edema that is sometimes mistaken for pneumonia.  Antibiotics are used to treat pneumonia.

Get Virtual Care

For Businesses

About Us

HealthTap Online Primary Care Doctors Accepting New Patients

Doctor answers about:

Is lasix can treat hyponatremia with CKD

A member asked:

Ckd patient with hyponatremia. is it safe to take 650 mg sodium bicarbonate with 40 mg lasix (furosemide) to prevent water retention? is sodium bicarbonate renoprotective?

A member asked:

Is 20 mg lasix (furosemide) appropriate daily maint dosage for ckd 4 to help with swelling due to proteinuria, or it should be as needed? effects on kidney funct?

A member asked:

How effective is furosemide (lasix) for treating chronic kidney disease?

A member asked:

Ckd chf patient on fluid 1l restriction bun 53, creatinine 2, going worse when on lasix (furosemide). at what bun am i too dehydrated/cause for high bun/c ratio?

A member asked:

I am s/p bladder ca, diabetic, high bp, ckd, history of kidney abscess.with current issue of "ring" around kidney seen in lasix (furosemide) ultrasound. what now?

A member asked:

Im 65 with chf ckd, get side effects from lasix (furosemide) (hearing/hemoglobin loss, hyperglyc, aplastic anemia). any alternatives or tips to tolerate lasix (furosemide)?

A member asked:

Any selective beta blocker alternatives to metoprolol xr for diabetic patients? also on lasix (furosemide) that causes hyperglycemia and ototoxicity? alternatives to ask cardiologist? any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?

A member asked:

Lasix is needed for chf/ckd fluid overload but causing burning during urination. should uti be suspected (finished antibiotic course). should low dose antibiotic be considered if inflammation/uri is recurring? will bumex work better in this case?

A member asked:

What are symptom of hyponatremia and how we can treat it?!?

A member asked:

Is it possible to treat pneumonia with lasix (furosemide)?

HealthTap Online Primary Care Doctors Accepting New Patients

Telemedicine

Primary Care

Manage Your Conditions

Women's Health

Children's Health

Men's Health

Senior Health

Wellness, Prevention & Lifestyle

Sexual Health

Mental & Behavioral Health

Travel Medicine

Urgent Care

Didn't find what you're looking for?

More of what we treat

Allergies

Antibiotics

Asthma

High Blood Pressure

Prescriptions

Type 2 Diabetes

For Businesses

Company

Health Content

Join Us

Download HealthTap

Questions?