Diuretics may have considerable value in reducing the edema associated with congestive heart failure; however, each patient must be evaluated individually, since diuresis is not considered mandatory in all patients. Digitalis and salt restriction may be sufficient to decrease the associated symptoms of pulmonary congestion and peripheral edema. In patients who require a diuretic as adjunctive therapy, the usual choice should be a thiazide or thiazide-type diuretic rather than one of the loop diuretics (e.g., bumetanide or furosemide). This is true especially in mild congestive heart failure. The more efficacious compounds probably should be reserved for those who fail to respond to one of the thi-azides. A K+-sparing diuretic also can be given with the thiazide to maintain serum K+ levels, which might otherwise be depleted. Hypokalemia predisposes patients to digitalis intoxication.
Was this article helpful?
This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.