okoznak a diuretikumok hyperparathyreosist ?
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Okoznak a diuretikumok hyperparathyreosist ?. Prof. Dr. Radó János. főorvos. Virányos Klinika, Budapest. OKOZNAK A DIURETIKUMOK HYPERPARATHREOSIST? Radó János. A FUROSEMID HATÁSA A PARATHORMONRA NORMÁL EGYÉNEKBEN. - PowerPoint PPT PresentationTRANSCRIPT
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Okoznak a diuretikumokhyperparathyreosist?
Virányos Klinika, Budapest
Prof. Dr. Radó Jánosfőorvos
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OKOZNAK A DIURETIKUMOK HYPERPARATHREOSIST?
Radó János
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A FUROSEMID HATÁSA A PARATHORMONRA NORMÁL EGYÉNEKBEN
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Risk factors for secondary hyperparathyroidism in a nursing home
populationMark S. Stein, Samuel C. Scherer, S. Lynette Walton, Richard E. Gilbert,Peter R. Ebeling,Leon
Flicker, John D. Wark
Article first published online: 26 NOV 2003DOI: 10.1046/j.1365-2265.1996.701521.xClinical Endocrinology 44:pages 375–383, April 1996
Vitamin D deficiency is a common risk factor for secondary hyperparathyroidism in nursing home residents. However, the daily frusemide dose is a more important predictor of
PTH in this population.
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FUROSEMID TETANIA
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J
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ACTIONS OF FRUSEMIDE AND A THIAZIDE, THE LANCET
AUGUST 26,1967
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0
5
10
15
20
25
30
FUROS TIAZID FSD+TIAszámitva
FSD+TIAmérve
FSD + TIAZID EGYÜTT HATÁSOSABB, MINT SZÁMITVA VÁRHATÓ LENNE
egészséges egyénekben maximális vizdiuresis alatt osmolalis clearance-ben mérve
Radó J, Szende L, Takó J, Borbély L: Further studies on the site of action of clopamide and furosemide. J Clin Pharmacol
New Drugs 1969;9:99.
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02 02 28 09 01 13 09 03 24 09 06 30 09 09 08 09 12 08 10 04 06 10 05 18
160 153 151
125139
128141 136
H
H Y G R O T O N +FSD +BB+CaB+ACEI+ARB
KVE-ben eGFR 24-15 ml/min /18 hó
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KÖVETKEZTETÉS I.
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KÖVETKEZTETÉS I.KÖVETKEZTETÉS II.
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KÖVETKEZTETÉS III.
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Urine calcium, mg/day
No diuretics 39,6 Loop 55 Thiazide 25,5
Loop- thiazide 30.3
(NDT March 7, 2011)