EFFECTIVE ASPECTS OF THE USE OF DIURETICS IN THE ELDER PERSON
Keywords:
Increased sensitivity, volume depletion, electrolyte imbalances, decreased glomerular filtration rate (GFR), and reduced renal blood flow, orthostatic hypotension, dehydration, hypokalemia, hyperuricemiaAbstract
In this article, the opinions of our country and foreign scientists are mentioned about the effective aspects of the use of diuretics in the elderly. The use of diuretics in older adults is common due to the prevalence of conditions like hypertension, heart failure, and chronic kidney disease. However, the effectiveness and safety of diuretic therapy in elderly patients depend on several factors. Diuretics can be highly effective for managing conditions like hypertension, heart failure, and edema in the elderly. However, their use requires careful attention to dosing, electrolyte monitoring, and potential side effects. Tailoring therapy to the individual patient’s needs and regularly monitoring their response ensures optimal effectiveness and minimizes risks.
References
1. "Geriatric Pharmacotherapy: A Guide for the Helping Professional" by Dawn M. Bennett
2. "Pharmacotherapy: A Pathophysiologic Approach" by Joseph DiPiro et al.
3. "Diuretics in Cardiovascular Therapy: An Evidence-Based Approach" by Pedro J. Ferreira and Patrícia Branco
4. Moss, J. and Tai, Y. (2020). "The Use of Diuretics in Elderly Patients with Heart Failure: Benefits, Risks, and Management." Journal of Geriatric Cardiology, 17(5), 355–362.
5. Kukreja, S., et al. (2019). "Diuretics in Older Adults: Friend or Foe?" Journal of the American Geriatrics Society, 67(8), 1640–1648.
6. Verdecchia, P. et al. (2017). "Diuretic Therapy and Its Impact on Elderly Hypertensive Patients." The Lancet Healthy Longevity, 8(2), 200-207.
7. Oudegeest-Sander, M. H., et al. (2013). "Effect of Diuretics on the Physiology of Aging: Kidney Function and Fluid Regulation in the Elderly." Nephrology, Dialysis, Transplantation, 28(6), 1472-1480.
8. Wenger, N. K. (2016). "Management of Hypertension in the Elderly: Focus on Diuretics." Clinical Interventions in Aging, 11, 743–750.
9. Hutchison, C. A., and O'Reilly, K. (2018). "The Role of Diuretics in Elderly Renal Disease: Benefits and Potential Pitfalls." International Journal of Nephrology and Renovascular Disease, 11, 109–118.
