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Alcohol acts as a diuretic because it suppresses the secretion of ADH from the posterior pituitary gland.
The rationale for considering an alternative loop diuretic in this patient hinges on bioavailability, which is "highly variable" for oral furosemide, at 10%-100%, while by contrast, torsemide and bumetanide have a very consistent bioavailability of 80%-100%, according to Dr.
In a study in Pakistan, it was found that 34% of the physicians prescribe ACE-I, another 34% use Beta Blockers, 17% use Diuretics, and 11% use Calcium channel blockers to manage Stage-1 hypertension.4 Osteoporosis is also a very common and a serious condition that lead to decrease in the bone mineral density thus increasing the risk of having fractures.
The co-administration of this narrowed therapeutic window drug with NSAIDs and diuretics is common, but seldom mentioned.
Conclusion: ACEIs and [beta]-blockers were barely employed to treat elderly CHF patients complicated with renal insufficiency, but diuretics and spironolactone were frequently utilized.
Unfortunately, loop diuretics are accepted as 'urine producers' among physicians in ICUs and are often used.
* Thiazide diuretics, such as chlorothiazide (Diuril) and hydrochlorothiazide (Microzide)
serrulatus leaves and its n-butanol fraction have significant (P<0.01) diuretic activity.
Ultrasonography was used to identify the presence of hydronephrosis, after which patients were referred for diuretic renal scans.
To assess therapeutic effectiveness of thiazide diuretic therapy, nurses should monitor patients' intake and output as well as blood pressure (Adams et al., 2014).