Importance of Adjusting Diuretic Doses in Patients with Liver Disease

When prescribing diuretics to patients with liver disease, it's crucial to consider the patient's creatinine levels, as they may have decreased muscle mass and liver function, leading to an overestimation of their kidney function. This can result in a need for higher doses of diuretics than the standard calculation based on creatinine levels. It's important to monitor the patient's output and kidney function before increasing the dosage to avoid complications like hyperkalemia, especially in patients with failing kidneys.