BUMETANIDE vs FUROSEMIDE

Hi, AskDocs! This may be too complex of an issue, but... I figure what the hell, why not? It’s worth a try. I’m 34, Female, 5’6”, used to weigh 120lbs, live outside Washington, DC. But about 12 years ago I fell, broke my tailbone, and instantly started swelling. Everywhere. Literally everywhere. I g

We had an intensivist order simultaneous Bumex and Lasix on a patient. When asked for clarification, he said, "It's because they work differently." He could not elaborate or supply any references, but a few colleagues told me they see nephrologists do this all the time. Is there something I'm mis

Has anyone seen someone on spironolactone, triamterene/HCTZ and Bumex concurrently for edema? They've been on it awhile but it was the first time I saw spironolactone + triamterene on my watch. I tried reaching the MD for clarification but the office was closed that day. My mgr filled it the followi

Specifically, drips/IVPBs. What drips do you protect from light? I have a hankering we overdo it at my workplace. For instance, we compound furosemide, bumetanide, vecuronium drips as needed, but put an amber bag over all of them before sending them out. Do these drips that are going to be running f

Bumetanide Otoxicity at Low Dose? I’m an outpatient diabetic pharmacist. Working with diabetic after hospitalization. Reviewing medication. CHF, pulmonary hypertension, class 3 obesity, T2DM, CKD. Gfr 24 ml/min at discharge. Long stay, discharged on various anti-hypertensive agents and new doses. La

My dad was diagnosed with end-stage heart failure and liver cirrhosis (alcoholic) after a fall at work. He had previous cirrhosis symptoms but no signs of heart failure. Following his fall, which caused multiple rib/arm/clavicle fractures, he was diagnosed with a DVT in his arm and a PE in his lung,

I'm so sorry this is so long, but I want to be as detailed as possible - managing adult hypertension is *so* far out of my specialty, I need help to figure all this out and figure out what is reasonable for us to expect My mother is a 76 yo woman with hx of hypertension that has been difficult to co

Guy comes in and picks up a script, asks to speak to RPh. He shows me his bottle of furosemide that he picked up in January that had a medley of tablets in the bottle and says it is the pharmacy's fault. He said he doesn't take the other two random pills in the bottle. I ID'd them and he indeed has

Where I live there's this infamous customer who is basically blacklisted everywhere in the metro for trying to fill his furosemide rx as early and often as possible. At the chain I worked at I denied him because I checked his profile and realized he had managed to fill like 1000 tablets between betw

It sounds like spironolactone avoids electrolyte imbalances while also somewhat decreasing the advancement of the disease, yet at least in vet med, furosemide is the first and usually only diuretic prescribed. Why not prescribe spironolactone first? Or why not a hybrid plan? I feel like I'm missing