Discover and read the best of Twitter Threads about #DIURETIC

Most recents (2)

1/๐Ÿงต๐ŸŽฅ Hepato-Jugular Reflux (HJR)?
Neck Veins tell us a lot about how much fluid people have in their body. Look at this video & youโ€™ll learn a trick doctors use that tips us off about blood volume! (Movie w perm)
#medtwitter #nursetwitter #TipsForNewDocs #TipsForNewInterns
2/ My patient had kidney failure & too much fluid, making him short of breath. I press down over his liver & watch his neck veins pop up (or not). When they do, it correlates w high pressures in the heart from too much blood volume.

3/ Another way of seeing this is the CXR (see pic). This simple measurement from a vein to an artery called the Vascular Pedicle Width (VPW) also tells me the heart pressures are too high. His VPW is 84 mm and > 70 is way too much. So he needs to pee a LOT!
Read 5 tweets
#MAMA : Pharm, I want to get these medications.๐Ÿ‘‡
Lisinopril, Ibuprofen and Frusemide.

#PHARMACIST : Are you the one taking all these medications?

#MAMA : Yes Pharm. What's wrong?

#PHARMACIST : These medications can cause "TRIPLE WHAMMY EFFECT".

Let me Explain ๐Ÿ‘‡

A Thread Image
๐Ÿ‘‰ The concurrent use of an #ACE_Inhibitors or #ARBs (such as LisinoPRIL & candeSARTAN), a #DIURETIC (such as Frusemide ), plus an #NSAIDs (Ibuprofen, Diclofenac, Aspirin) when taken together, increases the RISK of precipitating #KIDNEY_FAILURE!

And elderly people over the age of 65 are more likely to develop kidney disease because as people age, so do their kidneys.

So taking such combination PLUS ur AGE will increase ur risk of developing impaired Renal function.

*I wrote a note to d Doctor to review d prescription*
Read 5 tweets

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