KINE 2475 Lecture Notes - Lecture 45: Diuretic, Hyperglycemia, Furosemide

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Guidelines say we need to worry about metformin when gfr is 30. No alcohol, eats out, walks out, private insurance. Thiazides do not work at low gfr; loops work at low gfr. Is patient taking any of these drugs: on furosemide which could increase blood glucose, no drugs that can causae signs and symptoms. All patients with diabetes need statins: duloxetine 60mg may or may not be indicated, her vaginal dryness needs treatment. Requires additional therapy: dtp: at risk of futhur decline in renal function. Any toxicity or adverse effects or risk of side effects. At risk of potential side effects due to low gfr and doses of drugs: risk for cardiovascular event and requires therapy, ramipril affect kindey but it is work the risk, the low egfr puts them at risk. Memory, medication cost, availability, swelling: always risk when patient with chronic conditions and diabetes.

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