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Medicine Miscellaneous 95ef8688

A 68-year-old woman presents to the clinic with symptoms and signs of CHF. Which of the following is a contraindication to use furosemide?

A
has hypoalbuminemia
B
is oliguric
C
has acidosis
D
had a rash with trimethoprim-sulfamethoxazole
High-Yield Explanation
Furosemide is related to sulfonamide, and severe allergic reactions can occur. Furosemide is effective despite gross electrolyte disturbances or hypoalbuminemia. Excretion of large volumes of bicarbonate-poor urine leads to alkalosis, so an acidosis is not a contradiction in severe fluid and electrolyte depletion; a trial in oliguric states is often appropriate.

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