Management of diuretic treatment: a challenge in the obese patient.
Identifieur interne : 004139 ( Ncbi/Curation ); précédent : 004138; suivant : 004140Management 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
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(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 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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)
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