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Year : 2019  |  Volume : 17  |  Issue : 3  |  Page : 69-74

Diuretic-induced dyselectrolytemia and its clinical implications

1 Department of Nephrology, Command Hospital Air Force, Bengaluru, Karnataka, India
2 Departments of Medicine and GE Medicine, INHS Kalyani, Visakhapatnam, Andhra Pradesh, India
3 Departments of Cardiology, INHS Kalyani, Visakhapatnam, Andhra Pradesh, India

Correspondence Address:
Dr. Vijoy Kumar Jha
Physician and Nephrologist, Department of Nephrology, Command Hospital Air Force, Old Airport Road, Bengaluru - 560 007, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/cmi.cmi_22_18

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Diuretics are the most important and commonly used therapeutic agent in daily clinical practice, particularly in edematous states and hypertension. They increase urinary sodium and water losses by diminishing sodium reabsorption at different sites of a nephron. These drugs can influence the renal handling of electrolyte-free water, sodium, potassium, calcium, etc., depending on the sites of action leading to electrolyte disturbances which sometimes can be life-threatening if not carefully monitored and managed. This review focuses on the electrolyte imbalances in the setting of diuretic use and its clinical implications.

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