When PS is stabilised, the therapeutic plan should consider?

7
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1 stopping metolazone treatment
2 changing bumetanide to an oral formulation
3 starting co-amoxiclav

A 1, 2, 3
B 1, 2 only
C 2, 3 only
D 1 only
E 3 only

7 COMMENTS

  1. B is the answer and the winners are 8thAvenue and Eze
    Details Below:
    Once PS is stabilised, a long-term therapeutic plan should be carried out.
    Metolazone treatment should be withdrawn, after which a change from
    bumetanide to oral therapy should be attempted. The patient should be
    advised about the importance of compliance with bumetanide, and that the
    unwanted effect of increased diuresis with oral treatment usually decreases
    with time. The patient should be advised to take the drug in the morning.
    Potassium levels should be monitored and, if the patient is not taking any
    drugs with a potassium-sparing effect, then potassium supplements should
    be considered when bumetanide therapy is given long-term.

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