心力衰竭课件.pptVIP

DrugtherapyofHFDiuretics(利尿劑)Reducethecardiacvolumeloadbyremovingsaltandwater,alleviatecongestivesymptoms,reduceedema.(通過排鈉排水降低心臟容量負荷,緩解淤血症狀,減輕水腫)Inprinciple,weshouldlong-termusediuretics,andwhenedemadisappear,weshoulduselowdosediureticsindefinitely.(原則上,應長期維持,水腫消失後,應以最小劑量無限期使用)Sideeffects(副作用):electrolytedisorders(電解質紊亂),hyponatremia(低鈉血症),hypokalemia(低鉀血症),hyperkalemia(高鉀血症)Diuretics(利尿劑)Thiazidediuretics(噻嗪類利尿劑)Hydrochlorothiazide(氫氯噻嗪):anmoderate-effectivediuretics(中效利尿劑),effectondistalconvultedtubule,inhibitNa+reabsoption(作用於遠曲小管,抑制鈉重吸收)