Management of diuretic treatment: a challenge in the obese patient.
Identifieur interne : 004D76 ( Main/Merge ); précédent : 004D75; suivant : 004D77Management of diuretic treatment: a challenge in the obese patient.
Auteurs : Casper Kierulf Lassen [Danemark] ; Bente JespersenSource :
- Scandinavian journal of urology and nephrology [ 1651-2065 ] ; 2011.
Descripteurs français
- KwdFr :
- Atteinte rénale aigüe (), Atteinte rénale aigüe (diagnostic), Atteinte rénale aigüe (métabolisme), Comorbidité, Créatinine (sang), Diurétiques (effets indésirables), Diurétiques (usage thérapeutique), Défaillance cardiaque (métabolisme), Défaillance cardiaque (traitement médicamenteux), Défaillance cardiaque (étiologie), Furosémide (effets indésirables), Furosémide (usage thérapeutique), Humains, Infarctus du myocarde (), Marqueurs biologiques (sang), Mauvais usage des médicaments prescrits, Mâle, Obésité (), Obésité (métabolisme), Rein (), Rein (métabolisme), Sujet âgé, Urée (sang).
- MESH :
- diagnostic : Atteinte rénale aigüe.
- effets indésirables : Diurétiques, Furosémide.
- métabolisme : Atteinte rénale aigüe, Défaillance cardiaque, Obésité, Rein.
- sang : Créatinine, Marqueurs biologiques, Urée.
- traitement médicamenteux : Défaillance cardiaque.
- usage thérapeutique : Diurétiques, Furosémide.
- étiologie : Défaillance cardiaque.
- Atteinte rénale aigüe, Comorbidité, Humains, Infarctus du myocarde, Mauvais usage des médicaments prescrits, Mâle, Obésité, Rein, Sujet âgé.
English descriptors
- KwdEn :
- Acute Kidney Injury (chemically induced), Acute Kidney Injury (diagnosis), Acute Kidney Injury (metabolism), Aged, Biomarkers (blood), Comorbidity, Creatinine (blood), Diuretics (adverse effects), Diuretics (therapeutic use), Drug Overdose, Furosemide (adverse effects), Furosemide (therapeutic use), Heart Failure (drug therapy), Heart Failure (etiology), Heart Failure (metabolism), Humans, Kidney (drug effects), Kidney (metabolism), Male, Myocardial Infarction (complications), Obesity (complications), Obesity (metabolism), Urea (blood).
- MESH :
- chemical , adverse effects : Diuretics, Furosemide.
- chemical , blood : Biomarkers, Creatinine, Urea.
- chemically induced : Acute Kidney Injury.
- complications : Myocardial Infarction, Obesity.
- diagnosis : Acute Kidney Injury.
- drug effects : Kidney.
- drug therapy : Heart Failure.
- etiology : Heart Failure.
- metabolism : Acute Kidney Injury, Heart Failure, Kidney, Obesity.
- chemical , therapeutic use : Diuretics, Furosemide.
- Aged, Comorbidity, Drug Overdose, Humans, Male.
Abstract
The obesity epidemic is a major health concern. The diagnosis of acute illness and fluid imbalance in the obese patient is complicated by a wide range of comorbidities such as cardiovascular disease, obesity hypoventilation syndrome, non-alcoholic steatohepatitis and lymphoedema. Thus, obesity warrants particularly careful clinical and biochemical assessment owing to its resemblance to fluid retention. Dosing of diuretics is difficult in these patients. The blood urea:creatinine ratio should be widely used to detect emerging cardiovascular and renal complications. This report presents an obese patient with congestive heart failure due to a myocardial infarction, who subsequently was overdosed with diuretics. His prerenal acute renal failure resolved when diuretics were stopped and the high urea:creatinine ratio was diagnostic.
DOI: 10.3109/00365599.2011.552435
PubMed: 21329483
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 002744
- to stream PubMed, to step Curation: 002744
- to stream PubMed, to step Checkpoint: 002744
- to stream Ncbi, to step Merge: 004139
- to stream Ncbi, to step Curation: 004139
- to stream Ncbi, to step Checkpoint: 004139
Links to Exploration step
pubmed:21329483Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Management of diuretic treatment: a challenge in the obese patient.</title>
<author><name sortKey="Lassen, Casper Kierulf" sort="Lassen, Casper Kierulf" uniqKey="Lassen C" first="Casper Kierulf" last="Lassen">Casper Kierulf Lassen</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Nephrology, Aarhus University Hospital, Skejby, Aarhus N, Skejby, Denmark. cklassen@dadlnet.dk</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Department of Nephrology, Aarhus University Hospital, Skejby, Aarhus N, Skejby</wicri:regionArea>
<wicri:noRegion>Skejby</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Jespersen, Bente" sort="Jespersen, Bente" uniqKey="Jespersen B" first="Bente" last="Jespersen">Bente Jespersen</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2011">2011</date>
<idno type="RBID">pubmed:21329483</idno>
<idno type="pmid">21329483</idno>
<idno type="doi">10.3109/00365599.2011.552435</idno>
<idno type="wicri:Area/PubMed/Corpus">002744</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002744</idno>
<idno type="wicri:Area/PubMed/Curation">002744</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002744</idno>
<idno type="wicri:Area/PubMed/Checkpoint">002744</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002744</idno>
<idno type="wicri:Area/Ncbi/Merge">004139</idno>
<idno type="wicri:Area/Ncbi/Curation">004139</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">004139</idno>
<idno type="wicri:Area/Main/Merge">004D76</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Management of diuretic treatment: a challenge in the obese patient.</title>
<author><name sortKey="Lassen, Casper Kierulf" sort="Lassen, Casper Kierulf" uniqKey="Lassen C" first="Casper Kierulf" last="Lassen">Casper Kierulf Lassen</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Nephrology, Aarhus University Hospital, Skejby, Aarhus N, Skejby, Denmark. cklassen@dadlnet.dk</nlm:affiliation>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea>Department of Nephrology, Aarhus University Hospital, Skejby, Aarhus N, Skejby</wicri:regionArea>
<wicri:noRegion>Skejby</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Jespersen, Bente" sort="Jespersen, Bente" uniqKey="Jespersen B" first="Bente" last="Jespersen">Bente Jespersen</name>
</author>
</analytic>
<series><title level="j">Scandinavian journal of urology and nephrology</title>
<idno type="eISSN">1651-2065</idno>
<imprint><date when="2011" type="published">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Kidney Injury (chemically induced)</term>
<term>Acute Kidney Injury (diagnosis)</term>
<term>Acute Kidney Injury (metabolism)</term>
<term>Aged</term>
<term>Biomarkers (blood)</term>
<term>Comorbidity</term>
<term>Creatinine (blood)</term>
<term>Diuretics (adverse effects)</term>
<term>Diuretics (therapeutic use)</term>
<term>Drug Overdose</term>
<term>Furosemide (adverse effects)</term>
<term>Furosemide (therapeutic use)</term>
<term>Heart Failure (drug therapy)</term>
<term>Heart Failure (etiology)</term>
<term>Heart Failure (metabolism)</term>
<term>Humans</term>
<term>Kidney (drug effects)</term>
<term>Kidney (metabolism)</term>
<term>Male</term>
<term>Myocardial Infarction (complications)</term>
<term>Obesity (complications)</term>
<term>Obesity (metabolism)</term>
<term>Urea (blood)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Atteinte rénale aigüe ()</term>
<term>Atteinte rénale aigüe (diagnostic)</term>
<term>Atteinte rénale aigüe (métabolisme)</term>
<term>Comorbidité</term>
<term>Créatinine (sang)</term>
<term>Diurétiques (effets indésirables)</term>
<term>Diurétiques (usage thérapeutique)</term>
<term>Défaillance cardiaque (métabolisme)</term>
<term>Défaillance cardiaque (traitement médicamenteux)</term>
<term>Défaillance cardiaque (étiologie)</term>
<term>Furosémide (effets indésirables)</term>
<term>Furosémide (usage thérapeutique)</term>
<term>Humains</term>
<term>Infarctus du myocarde ()</term>
<term>Marqueurs biologiques (sang)</term>
<term>Mauvais usage des médicaments prescrits</term>
<term>Mâle</term>
<term>Obésité ()</term>
<term>Obésité (métabolisme)</term>
<term>Rein ()</term>
<term>Rein (métabolisme)</term>
<term>Sujet âgé</term>
<term>Urée (sang)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Diuretics</term>
<term>Furosemide</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Biomarkers</term>
<term>Creatinine</term>
<term>Urea</term>
</keywords>
<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Acute Kidney Injury</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Myocardial Infarction</term>
<term>Obesity</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Acute Kidney Injury</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Atteinte rénale aigüe</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Kidney</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Heart Failure</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Diurétiques</term>
<term>Furosémide</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Heart Failure</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Acute Kidney Injury</term>
<term>Heart Failure</term>
<term>Kidney</term>
<term>Obesity</term>
</keywords>
<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Atteinte rénale aigüe</term>
<term>Défaillance cardiaque</term>
<term>Obésité</term>
<term>Rein</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Créatinine</term>
<term>Marqueurs biologiques</term>
<term>Urée</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Diuretics</term>
<term>Furosemide</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Défaillance cardiaque</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Diurétiques</term>
<term>Furosémide</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Défaillance cardiaque</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Comorbidity</term>
<term>Drug Overdose</term>
<term>Humans</term>
<term>Male</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Atteinte rénale aigüe</term>
<term>Comorbidité</term>
<term>Humains</term>
<term>Infarctus du myocarde</term>
<term>Mauvais usage des médicaments prescrits</term>
<term>Mâle</term>
<term>Obésité</term>
<term>Rein</term>
<term>Sujet âgé</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">The obesity epidemic is a major health concern. The diagnosis of acute illness and fluid imbalance in the obese patient is complicated by a wide range of comorbidities such as cardiovascular disease, obesity hypoventilation syndrome, non-alcoholic steatohepatitis and lymphoedema. Thus, obesity warrants particularly careful clinical and biochemical assessment owing to its resemblance to fluid retention. Dosing of diuretics is difficult in these patients. The blood urea:creatinine ratio should be widely used to detect emerging cardiovascular and renal complications. This report presents an obese patient with congestive heart failure due to a myocardial infarction, who subsequently was overdosed with diuretics. His prerenal acute renal failure resolved when diuretics were stopped and the high urea:creatinine ratio was diagnostic.</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004D76 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 004D76 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Main |étape= Merge |type= RBID |clé= pubmed:21329483 |texte= Management of diuretic treatment: a challenge in the obese patient. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Merge/RBID.i -Sk "pubmed:21329483" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Merge/biblio.hfd \ | NlmPubMed2Wicri -a LymphedemaV1
This area was generated with Dilib version V0.6.31. |