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العنوان
Continuous Infusion versus Intermittent Bolus Injections of Furosemide in Congestive Heart Failure \
المؤلف
Wannas, George Salah Farah.
هيئة الاعداد
باحث / جورج صلاح فرح ونس
مشرف / عمــر محمــد طـــه الصـفتــى
مشرف / عبير محمد عبد العزيز محمد الديك
مشرف / مــروة ممـــدوح محمـــد الفـــار
تاريخ النشر
2021.
عدد الصفحات
148 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
التخدير و علاج الألم
تاريخ الإجازة
1/1/2021
مكان الإجازة
جامعة عين شمس - كلية الطب - التخدير والرعاية المركزة وعلاج الألم
الفهرس
Only 14 pages are availabe for public view

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from 148

Abstract

Circle diuretic treatment (Furosemide) assumes an essential part in treatment of CHF. Notwithstanding absence of shared understanding about best way to deal with use Furosemide in CHF, its exhibited adequacy and lg clinical involvement in it propose that it will remain a basic part in administrati of CHF. Progressing examinati ccerning ideal methodology to direct furosemide is an absolute necessity to keep up its adequacy and limit its unfriendly impacts.
In our investigati we attempted to recognize most valuable strategy for Furosemide organizati wher cstant imbuement or irregular bolus infusis. 40 patients (31 guys and 9 females) cceded with an analysis of CHF were randomized in 1:1 proporti into eir nstop mixture or disctinuous boluses of Furosemide.
patient cfirmati, itemized history was taken including manifestatis, hazard compents and etiology. Clinical assessment was performed to recognize rales, different indicatis of aspiratory edema and fringe edema. Body weight estimati was taken as a benchmark. All patients were submitted to CXR, echocardiography and lab evaluati of renal capacity and electrolytes.
Patients were n thought about every day with respect to BWL, UOP and clinical improvement of pneumic rales. y were checked for electrolytes unsettling influence, renal capacity disintegrati and hemodynamic precariousness for initial 72 hours after affirmati. length of ICU remain and mortality were seen too.
Our investigati uncovered that Furosemide ctrolled in ceaseless imbuement garing, in examinati with irregular bolus garing, was related with more aggregate UOP (P esteem 0.002) and more complete BWL in 3 days (P esteem 0.000). This was cost of more rate of hypokalemia (P esteem 0.002), re was no critical ctrast between 2 courses with respect to hemodynamic boundaries, renal capacity, mortality or length of ICU remain.
Cstant implantati of Furosemide in patients with CHF seems to give more productive diuresis, alg with more decrease of body weight when ctrasted with irregular bolus treatment. Be that as it may, se got valuable hemodynamic impacts were not csidered clinical course and patient result. Additially, y were related with electrolyte aggravati.