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Which diuretic is most appropriate for treating a patient with increased intracranial pressure (ICP)?

A.

Hydrochlorothiazide

B.

Spironolactone

C.

Furosemide

D.

Mannitol

Answer and Explanation

The Correct Answer is D

 (A) Hydrochlorothiazide: A thiazide diuretic used for hypertension, not ICP.

(B) Spironolactone: A potassium-sparing diuretic used for heart failure, not ICP.

(C) Furosemide: A loop diuretic that reduces fluid overload but is not the first choice for ICP management.

(D) Mannitol: An osmotic diuretic that reduces brain swelling by drawing fluid out of the brain and into the bloodstream.


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Related Questions

Correct Answer is C

Explanation

(A) Positive Inotropic Effect: Sotalol does not increase contractility; it weakens contractions, making it a negative inotrope.

(B) Hypertension: Sotalol primarily lowers blood pressure and heart rate, which can actually cause hypotension.

(C) Negative Inotropic Effect: Sotalol is a beta-blocker that decreases myocardial contractility, which can further reduce cardiac output in heart failure patients.

(D) Hypercholesterolemia: Sotalol does not significantly impact cholesterol levels.

Correct Answer is C

Explanation

(A) Mannitol: Osmotic diuretic, does not significantly lower potassium.

(B) Calcium Carbonate: Used for hypocalcemia, not hyperkalemia.

(C) Glucose & Insulin: Insulin drives potassium into cells, reducing serum potassium levels. Glucose is given to prevent hypoglycemia.

(D) Metoprolol: Beta-blocker, does not directly lower potassium.

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