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25. Diuresis & Negative Fluid Balance

Critical Care Time

CHAPTER

Optimizing Diuretic Therapy in Clinical Practice

This chapter explores strategies for effectively using diuretics in medical practice, covering topics such as dosing, electrolyte monitoring, and managing patients on continuous renal replacement therapy. It discusses advanced concepts like the use of thiazide diuretics and spironolactone in unique cases, such as patients with cirrhosis, and addresses challenges like hypochloremia and hypoalbuminemia. The speakers also touch on the use of osmotic diuretics in specific conditions like cerebral edema and debunk the myth surrounding augmenting diuresis with albumin.

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