Introduction and lasix dehydration test Symptomatology, john. Zappia, MD, michigan Ear Institute. Prosper Meniere was the lasix dehydration test first to report a group of patients with episodic vertigo attacks in 1861. His name has been associated with the lasix dehydration test disorder described below since that time. Formally, Meniere's disease is characterized by (1) unilateral sensorineural hearing loss, typically fluctuating and predominantly in the lower frequencies, (2) tinnitus, constant or lasix dehydration test intermittent with the hearing loss typically increasing in intensity before or during the vertiginous attacks and, (3) attacks of vertigo lasting minutes. A sense of fullness in the ear lasix dehydration test is also experienced. The fluctuations in hearing often accompany the vertigo attacks. The patient is generally left exhausted and unstable for the subsequent one to three days after an acute vertigo attack. The tinnitus and fullness are generally constant, but frequently increase in severity just preceding, or during the attack. One difficulty in the diagnosis, and an issue of controversy, is that the auditory and vestibular symptoms may not develop simultaneously, and in many patients the full complement of symptoms never develop. For the diagnosis of Meniere's disease to be lasix dehydration test applicable, all of the symptoms in the first paragraph must be present. Subsequent terms have been created to attempt to categorize these possibilities. Meniere's variant, vestibular Meniere's, cochlear Meniere's and other terms have been applied to those with only a portion of the symptomatology. Endolymphatic hydrops is probably a more useful way of describing the disorder because it identifies the underlying problem (see below with the understanding that there can be various manifestations and degrees of severity of the disease. Meniere's disease is characterized by exacerbations and remissions making it impossible to predict the future behavior of any individual patient. After a number of years, in many patients, the vertigo symptoms subside and the hearing loss stabibizes at a moderate to severe level. This pattern of "burning out" occurs in a large number but by no means all patients. The average age of onset of symptoms is in the 40's but it can occur at any time in one's life. The occurence of the disease in children, although, is somewhat uncommon. The risk of developing the desease in the opposite ear is estimated to be as high. Most believe that the second will usually become symptomatic within 2-5 years of the onset of symptoms in the first ear. Pathogenesis, the inner ear contains two separate fluid comparments. One contains a fluid designated perilymph and the second innermost compartment contains a fluid called endolymph. In Meniere's disease there is too much pressure and fluid within the endolymphatic space. The exact reason for the excess pressure is unknown. It is known that endolymph is produced by special cells in the inner ear and that the fluid ultimately drains out of the inner ear into the cerebrospinal fluid through the endolymphatic duct and sac. An obvious and fundamental thought in this disorder is that there either excess production of endolymph by the specialized cells or there is reduced or impaired resorption by the endolymphatic sac. Either or both problem will lead to excess fluid. Although there has been much research the answer is not known. Genetic and hereditary factors may be a part of Meniere's disease. There appears to be a significantly higher incidence of Meniere's disease in family members with the disease. Also the size and shape of some of the inner ear structures such as the endolymphatic sac and the vestibular aqueduct (the lasix dehydration test bony tunnel that the endolymphatic duct passes through) are different. Testing, diagnosis can frequently be made by historical information and physical examination but several tests can be useful in not only establishing the diagnosis but also in eliminating other possible disorders. Standard audiometric testing will show the characteristic hearing loss when the patient is experiencing aural symptoms.

Lasix for chf

Medically reviewed on December 27, 2017. Applies to the following strengths: 80 mg; 20 lasix for chf mg; 40 mg; 10 mg/mL; 40 mg/5 mL; 100 mg/100 mL-0.9. Usual Adult Dose for: Usual Pediatric Dose for: Additional dosage information: Usual Adult Dose for Ascites, iV/IM : Initial dose: 20 to 40 mg IV (slowly over 1 to 2 minutes) or IM once; may lasix for chf repeat with lasix for chf the same dose or increase by. Maintenance dose: Administer the dose that provided the desired diuretic effect once or twice a day. Use: Treatment of edema associated with congestive heart failure, cirrhosis of the liver, and renal disease, including the nephrotic syndrome, especially when an agent with greater diuretic potential is desired. Oral : Initial dose: 20 to 80 mg orally once; may repeat with the same dose or increase by 20 or 40 mg no sooner than 6 to 8 hours after the previous dose until the desired diuretic effect has been obtained. Maintenance dose: Administer the dose that provided the desired diuretic effect once or twice a day (e.g., at 8 am and 2 pm). Maximum dose: 600 mg/day in patients with clinically severe edematous states. Comments : -Edema may be most efficiently and safely mobilized by giving this drug on 2 to 4 consecutive days each week. When doses greater than 80 mg/day are given for prolonged periods of time, careful clinical observation and laboratory monitoring are particularly advisable. Use: Treatment of edema associated with congestive heart failure, cirrhosis of the liver and renal disease, including the nephrotic syndrome, especially when an agent with greater diuretic potential is desired. Usual Adult Dose for Congestive Heart Failure. IV/IM : Initial dose: 20 to 40 mg IV (slowly over 1 to 2 minutes) or IM once; may repeat with the same dose or increase by 20 mg no sooner than 2 hours after the previous dose until the desired diuretic effect has been. Usual Adult Dose for Edema, iV/IM : Initial dose: 20 to 40 mg IV (slowly over 1 to 2 minutes) or IM once; may repeat with the same dose or increase by 20 mg no sooner than 2 hours after the previous dose until the. Usual Adult Dose for Nephrotic Syndrome IV/IM : Initial dose: 20 to 40 mg IV (slowly over 1 to 2 minutes) or IM once; may repeat with the same dose or increase by 20 mg no sooner than 2 hours after the previous dose until. Maximum dose: 600 mg/day in patients with clinically severe edematous states Comments : -Edema may be most efficiently and safely mobilized by giving this drug on 2 to 4 consecutive days each week. Usual Adult Dose for Renal Failure IV/IM : Initial dose: 20 to 40 mg IV (slowly over 1 to 2 minutes) or IM once; may repeat with the same dose or increase by 20 mg no sooner than 2 hours after the previous dose until. Usual Adult Dose for Liver Cirrhosis IV/IM : Initial dose: 20 to 40 mg IV (slowly over 1 to 2 minutes) or IM once; may repeat with the same dose or increase by 20 mg no sooner than 2 hours after the previous dose until. Usual Adult Dose for Pulmonary Edema 40 mg IV slowly over 1 to 2 minutes; if a satisfactory response doesn't occur within one hour, may increase to 80 mg IV slowly over 1 to 2 minutes. Use: Adjunctive therapy in acute pulmonary edema. IV administration of this drug is indicated when a rapid onset of diuresis is desired (e.g., in acute pulmonary edema). Usual Adult Dose for Hypertension Oral : Initial dose: 80 mg/day, usually divided into 40 mg orally twice a day Use: Treatment of hypertension alone or in combination with other antihypertensive agents. Usual Pediatric Dose for Edema IV/IM : 1 mg/kg IV or IM slowly; if the diuretic response to the initial dose is not satisfactory, may increase by 1 mg/kg and administer no sooner than 2 hours after the previous dose until the desired diuretic effect.

Obat lasix

Furosemide lasix ) is a prescription medication often used for treating high blood pressure and water retention caused by kidney disease or kidney failure, cirrhosis, or congestive heart failure. The medication comes in tablet form and is available in three strengths, including: Furosemide 20 mg tablets, furosemide 40 mg tablets, furosemide 80 obat lasix mg tablets. The recommended starting dose for high blood pressure is 40 mg twice daily. Based on how you respond to the medication, your healthcare provider may increase or decrease your dosage as needed. For the treatment of water retention, dosing varies considerably. Some people may only need to take furosemide 20 mg tablets (one tablet daily while others may take up to 600 mg daily (as a single dose or divided into several doses). Some people only need to take this medicine when they experience water retention, while others need to take it on a daily basis. As with any medication, side effects are possible with furosemide. Some of the most commonly reported side effects include headaches, and fever. While most side effects are mild, some are potentially serious and require medical attention, including fainting spells, dizziness, or dehydration. Furosemide Dosing to find out how dosing works for infants and children, how your healthcare provider will determine an appropriate dose for your particular situation, and general tips and precautions.). Hipersensitivitas terhadap furosemide atau bahan dalam formulasi. Peringatan / Kewaspadaan, peringatan, efek pada hati, perubahan mendadak keseimbangan elektrolit pada pasien dengan sirosis dapat memicu koma hepatik; gunakan dengan hati-hati pada pasien dengan sirosis hati dan ascites. Jangan memulai terapi pada pasien dengan koma hepatik atau deplesi elektrolit sampai kondisi dasar Terapi membaik. Lakukan Pengawasan yang teliti terhadap status klinis dan keseimbangan elektrolit. Efek ginjal, jika peningkatan azotemia dan oliguria terjadi obat lasix selama pengobatan penyakit ginjal progresif berat, hentikan tersebut tersebut, -Reaksi sensitivitas anafilaksis, anafilaksis (misalnya, urtikaria, angioedema, hipotensi) dalam waktu 5 menit setelah pemberian. Lupus Eritematosus Sistemik, kemungkinan eksaserbasi atau aktivasi lupus erythematosus sistemik. Pasien peka terhadap sulfonamida dapat menunjukkan reaksi alergi terhadap furosemide. Fotosensitifitas, fotosensitifitas mungkin terjadi, mayor toksisitas ototoxicity, risiko tinnitus, gangguan pendengaran reversibel atau permanen meningkat setelah IV atau IM, terutama pada dosis tinggi, setelah pemberian terlalu cepat pada pasien dengan gangguan fungsi ginjal berat, dan / atau pada pasien yang menerima obat ototoksik lain (misalnya. Jika terapi IV dosis tinggi diberikan, mengelola infus IV dengan lambat (misalnya, pada tingkat tidak melebihi 4 mg / menit pada orang dewasa). Kewaspadaan Umum, efek pada Cairan, Elektrolit, dan Kardiovaskular. Diuresis yang berlebihan dapat menyebabkan dehidrasi dan penurunan volume darah dengan kolaps sirkulasi dan mungkin trombosis dan emboli pembuluh darah, khususnya di pasien lanjut usia / geriatrik. Risiko hipotensi ortostatik, terutama dengan diuresis cepat, Bisa diperparah oleh penggunaan bersama dengan alkohol, barbiturat, atau narkotika.

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