Question 195 · LEK · Treatment of hypertension with comorbidities
Indicate the false statement concerning the use of loop diuretics in patients with arterial hypertension and chronic kidney disease:
- A. loop diuretics are effective even in patients with glomerular filtration rate (GFR) < 15 ml/min/1,73 m2.
- B. use of large doses of loop diuretics may lead to dehydration and a decrease of GFR.
- C. loop diuretics should not be used in patients without hyperkaliemia.
- D. use of diuretics combined with angiotensin-converting-enzyme inhibitors decreases albuminuria.
- E. use of large doses of loop diuretics may lead to hearing impairment.
Hint
Loop diuretics are chosen in CKD because they still work at low GFR — is hyperkalemia a prerequisite for using them?
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