Doctor insights on:
Furosemide And Hypokalemia
Tricky : Heart failure in the setting of low blood pressure is challenging. Diuretics like Lasix (furosemide) can be used but support of the cardiac output is essential. Acute care is usually in the ICU with IV meds. Chronic heart failure managed as an outpatient with diuretics, ace inhibitors, and other cardiac meds requires close follow-up of blood pressure, electrolytes, and kidney function. ...Read moreSee 1 more doctor answer
Furosemide is a potent diuretic which increases dramatically urine output in most patients. It is most frequently used in patients who are fluid overloaded such as in congestive heart failure. Potassium , sodium and magnesium can be lost in excess with the use of Furosemide and must be closely monitored. It is much stronger than other diuretics used for ...Read more
Hyponatremia: The answers to your questions cannot fit in allotted space. For the causes of hyponatremia go to this link: http://www.Mayoclinic.Org/diseases-conditions/hyponatremia/basics/causes/con-20031445 for the causes of hyperkalemia go to this link: http://www.Mayoclinic.Org/symptoms/hyperkalemia/basics/causes/sym-20050776 good luck. ...Read more
Conflicting info on diuretics use in ckd4 with hyperkalemia issues (low aldosterone) with 2 g proteinuria. Will 20 mg lasix (furosemide) daily dose harm kidney?
Follow MD advice : You already have kidney problems and should be monitored by a kidney specialist. Follow their advice closely rather then trying to treat yourself. What is appropriate for your problem is best determined by some who does this for a living then try to make sense of all the information that you get from your well meaning friends and the internet ...Read more
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)?
Consider workup: Rather than asking about potassium supplements, the first thing i would make sure is there is no reversible causes or hypertension and hypokalemia. People with a genetic disorder that cause high aldosterone levels will lead to more sodium retention resulting in hypertension. Wehn sodium is absorbed, it dumps potassium. If an adenoma is causing this, it may be able to be removed and fix problem. ...Read moreSee 1 more doctor answer
What's more appropriate for hypokalemia or hypokalemic periodic paralysis? Potassium chloride or potassium citrate? Thanks.
Need florinef (fludrocortisone) for dysautonomia, my potassium is 3.2 on 100meq potassium drinks per day, what is best action as I need the florinef (fludrocortisone)?
Why low K: Florinef (fludrocortisone) will help with low Potassium. I would suggest work up as why you have low potassium and need 100 meq replacement. That is a large dose. Unless losses in stool I suspect the kidney is loosing K. A urine spot potassium should answer this when done along with blood potassium level. Long term indefinite use of Florinef (fludrocortisone) is not recommended. ...Read more
Can triamterene affect Aldo/renin serum levels? Trying to determine cause of hypokalemia, been on dyazide (hydrocholorthiazide and triamterene) 8 years for leg edema w/o issue, now low K.
How can I deal with hyperkalemia(high potassium) during treatement of high blood pressur by zestril (lisinopril)?
Potassium 4.0 with good diet. On fludrocortisone 0.1mg its 3.2 with 80meq potassium? Urine potassium normal before florinef. Big drop from low dose?
I'm on lopressor, benicar, (olmesartan) omeprazole, and ativan. Can any of these cause low calcium and potassium blood levels?
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?
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! ...Read moreSee 2 more doctor answers
Potassium 3.4 (3.5-5.0) got dysautonomia. Low aldosterone low angiotensin ii. Need florinef (fludrocortisone) but potassium will be lower. What causing this?
Review this again: Aldosterone deficient patients that require fluorinef are almost by definition hyperkalemic. Florinef (fludrocortisone) will make the k lower. The condition you describe (low aldosterone, adrenal insufficiency) comes with high k, non gap acidosis and low blood pressure. The low k does not fit. Perhaps this is a form of barrter's syndrome. Please review with your physician. ...Read more
Lasix (furosemide) 40 being given in condition of dilated cardiomyopathy, can proove fatal in low blood pressure and low sodium level?
Caution required: In dilated cardiomyopathy, the decreased ejection fraction (squeezing function of the heart) may cause "back-up" of pressure which can result in fluid retention and edema (lungs, legs, abdomen, etc). Lasix (furosemide) can be quite helpful for this. If blood pressure is low, Lasix (furosemide) can be harmful, because blood pressure can worsen. Independently, low sodium is a marker for worse prognosis in cardiomyopathy. ...Read more