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雑誌文献

medicina58巻10号

2021年09月発行

文献概要

特集 腎疾患—エキスパートへの質問で学ぶ診療のキホンと最新情報 利尿薬やその他の新薬の有効性と注意すべき副作用

「尿が出ない!」だから利尿薬を投与する?利尿薬投与の基本と最新の使用法について教えてください

著者: 緒方聖友1 谷澤雅彦1 柴垣有吾1

所属機関: 1聖マリアンナ医科大学腎臓・高血圧内科

ページ範囲:P.1628 - P.1634

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Point
◎利尿薬の作用機序を理解する.
◎ループ利尿薬をもとに各疾患での利尿薬のPK/PDについて理解する.
◎利尿薬抵抗性への対応理解を深める.

参考文献

1)柴垣有吾:より理解を深める!体液電解質異常と輸液 改訂3版,中外医学社,p 28, 2007
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4)Ellison DH:Clinical pharmacology in diuretic use. Clin J Am Soc Nephrol 14:1248-1257, 2019
5)Hoorn EJ, Ellison DH:Diuretic resistance. Am J Kidney Dis 69:136-142, 2017
6)Brater DC:Update in diuretic therapy;Clinical pharmacology. Semin Nephrol 31:483-494, 2011
7)Vargo DL, et al:Bioavailability, pharmacokinetics, and pharmacodynamics of torsemide and furosemide in patients with congestive heart failure. Clin Pharmacol Ther 57:601-609, 1995
8)Brater DC, et al:Absorption and disposition of furosemide in congestive heart failure. Kidney Int 22:171-176, 1982
9)Mullens W, et al:The use of diuretics in heart failure with congestion;A position statement from the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail 21:137-155, 2019
10)Cox ZL, Testani JM:Loop diuretic resistance complicating acute heart failure. Heart Fail Rev 25:133-145, 2020
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13)Felker GM, et al:Diuretic strategies in patients with acute decompensated heart failure. N Engl J Med 364:797-805, 2011
14)Zheng Z, et al:Continuous versus intermittent use of furosemide in patients with heart failure and moderate chronic renal dysfunction. ESC Heart Fail 8:2070-2078, 2021
15)Mullens W, et al:Importance of venous congestion for worsening of renal function in advanced decompensated heart failure. J Am Coll Cardiol 53:589-596, 2009
16)Agarwal R, Sinha AD:Thiazide diuretics in advanced chronic kidney disease. J Am Soc Hypertens 6:299-308, 2012
17)Inomata T, et al:Effects of additive tolvaptan vs. increased furosemide on heart failure with diuretic resistance and renal impairment;Results from the K-STAR Study. Circ J 82:159-167, 2017
18)Kida K, et al:Efficacy of tolvaptan added to furosemide in heart failure patients with advanced kidney dysfunction;A pharmacokinetic and pharmacodynamic study. Clin Pharmacokinet 54:273-284, 2015
19)Bellomo R, Giantomasso DD:Noradrenaline and the kidney;Friends or foes? Crit Care 5:294-298, 2001
20)Abuelo JG:Normotensive ischemic acute renal failure. N Engl J Med 357:797-805, 2007
21)Hall JE, et al:Blood pressure and renal function during chronic changes in sodium intake;Role of angiotensin. Am J Physiol 239:F271-F280, 1980

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1189

印刷版ISSN:0025-7699

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