Firstly ...way to go tommy i hope that someone as willing to teach as you blesses the remainder of my medical education.
ok i have been going through every question tommy has posted , tying them into my notes ,looking up what i don't know , making flash cards etc ...
ok Tommy wrote
A woman with sarcoidosis or with hypercalcemia (there are a thousand ways to ask this concept) enters your clinic, which is the diuretic of choice?
with the answer
Furosemide, NOT thiazides or mannitol, or acetazolamide
katzung basic and clinical pharm pg 254 says
"F other toxicities"
"loop agents are know for their calciuric effect but hypercalcemia can occur.Hypercalcemia is most likely to occur in pts who become dehydrated or have another- previously occult-cause for hypercalcemia "
So asks the padawan is the teaching point here that loop diuretics are primarly calciuric ? In the case of pre existing hypercalcemia or a condition that might predispose a pt to hypercalcemia (sarcadosis or oat cell CA) are loop diuretics still the best chioce?
anyone ? bueller ?
and thanks again to tommy