Ultrafiltration: contemporary management of fluid overload

Critoph, CH; Flett, AS; Woldman, Simon; Thomas, D. S.

doi:10.12968/hmed.2013.74.sup9.c134

Cited by 1 publication

(1 citation statement)

References 44 publications

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“…Causes include use of sub-therapeutic doses, poor absorption from edematous gut, poor diuretic delivery to its site of action, WRF, high dietary salt intake, braking phenomenon and auto regulation by nephrons to maintain sodium homeostasis, and post diuretic sodium retention (rebound) which occurs when diuretic concentrations in the tubule decline. Strategies to overcome this are shown in Table 3 [ 9 - 12 ].…”

Section: Treatmentmentioning

confidence: 99%

A Practical Comprehensive Approach to Management of Acute Decompensated Heart Failure

Nwosu

Mezue²,

Bhagatwala³

et al. 2016

CCR

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Heart failure (HF) has a high incidence and prevalence in the USA and worldwide. It is a very common cause of significant morbidity and mortality with serious cost implications on the US health sector. The primary focus of this review is to synthesize an effective comprehensive care plan for patients in acute decompensated heart failure (ADHF) based on the most current evidence available. It begins with a brief overview of the pathophysiology, clinical presentation and evaluation of patients in ADHF. It then reviews management goals and treatment guidelines, with emphasis on challenges presented by diuretic resistance and worsening renal function (WRF). It provides information on recognition of advanced HF even during acute presentation, estimation of prognosis and proactive identification of patients that will benefit from mechanical cardiac devices, transplantation and palliative care/hospice. In addition, it presents strategies to address the problem of readmissions, which is an ominous prognostic factor with enormous economic burden.

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Section: Treatmentmentioning

confidence: 99%