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25. Diuresis & Negative Fluid Balance

Critical Care Time

CHAPTER

Choosing Loop Diuretics in the ICU

This chapter provides a detailed comparison between purosamide and pumetinide for loop diuretics in ICU patients, emphasizing dosing strategies and considerations for serum albumin levels. It highlights the importance of switching to IV medications for volume overloaded patients with gut wall edema hindering oral absorption. The concept of threshold doses, dosing in chronic kidney disease, and the benefits of continuous drip dosing are discussed, along with the significance of a team approach in intensive care medicine.

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