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IBCC Episode 72 - Dominating the Diuresis

The Internet Book of Critical Care Podcast

CHAPTER

Diaratic Resistance - What's the Underlying Physiology?

If a patient is congested and still requires diarroesus, then you're going to want to escalate your therapy. If that doesn't work, then you could add additial agents like acetis olma or spirenalactone. And if all else fails, then you can go to hyper diresis. This is treating patients with a combination of about a hundred, 50 mels of three % saline, plus a huge bolus of ivy furosmide. There are some theoretical interactions between the pursmide and e three % that may kind of, like help pole fluid into the intr vasor space,. A lot of people get around the fact that las

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