Refractory Edema with Congestive Heart Failure Stepwise Approaches Nephrology Perspectives

Gawad, Mohammed Abdel

doi:10.15406/unoaj.2014.01.00011

Cited by 1 publication

(2 citation statements)

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“…-Patients undergoing diuretic treatment should be particularly monitored for hypovolemia, hyponatremia and hypokalemia as they may lead to pre-renal kidney failure, delirium, and orthostatic hypotension [10]. -Moreover, attention should be paid to patients with hypoalbuminemia whose pharmacokinetics may be impaired, including diuretic treatment with furosemide may be less effective [44]. -Priority should be given to drugs included in European recommendations and with proven efficacy and safety for HF patients with frailty and multimorbidity [10].…”

Section: How To Manage a Frail Patient's Medications?mentioning

confidence: 99%

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A patient with heart failure, who is frail: How does this affect therapeutic decisions?

et al. 2023

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Patients with heart failure (HF) are heterogeneous, not only related to comorbidities but also in the presentation of frailty syndrome. Frailty syndrome also affects patients with HF across the lifespan. Frailty in patients with HF has a significant impact on clinical features, diagnosis, management, adverse medical outcomes and costs. In everyday clinical practice, frail patients with HF require an individualized approach, often imposing the need to modify therapeutic decisions. The aim of this review is to illustrate how frailty and multimorbidity in HF can affect therapeutic decisions. The scientific evidence underlying this publication was obtained from an analysis of papers indexed in the PubMed database. The search was limited to articles published between 1990 and July 2022. The search was limited to full-text papers published in English. The database was searched for relevant MeSH phrases and their combinations and keywords

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Section: How To Manage a Frail Patient's Medications?mentioning

confidence: 99%

“…— Moreover, attention should be paid to patients with hypoalbuminemia whose pharmacokinetics may be impaired, including diuretic treatment with furosemide may be less effective [ 44 ].…”

Section: How To Manage a Frail Patient’s Medications?mentioning

confidence: 99%