Edema / volume overload
- Treat the underlying heart/kidney/liver cause
- Loop diuretic is the main rapid natriuretic
- Add thiazide-type drug for resistant edema
- Restrict sodium; fluid restriction only when indicated
- Monitor weight, K/Mg, creatinine + symptoms
- Refractory severe overload may require ultrafiltration/dialysis
Use at a glance
- Treat the underlying heart/kidney/liver cause
Treatment options
- Loop diuretic is the main rapid natriuretic
- Add thiazide-type drug for resistant edema
Escalation / refractory disease
- Restrict sodium; fluid restriction only when indicated
- Refractory severe overload may require ultrafiltration/dialysis
Monitoring / follow-up
- Monitor weight, K/Mg, creatinine + symptoms
Self-check
- What intake restrictions apply to edema?
Sodium; fluid restriction only when indicated.
- What is the main rapid natriuretic for edema?
A loop diuretic.
Drugs used for this (4)
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