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re: Lake ER after hours

Posted on 12/24/19 at 10:14 am to
Posted by mikelbr
Baton Rouge
Member since Apr 2008
47851 posts
Posted on 12/24/19 at 10:14 am to
quote:

A steroid shot for a CHF patient seems a recipe for water retention and volume overload. Don’t get medical advice on the OT.




Most people know Steroid meds cause weight gain, but I didn't know it was b/c of water retention? Would/Could a diuretic off set that?
Posted by Hopeful Doc
Member since Sep 2010
15178 posts
Posted on 12/24/19 at 10:20 am to
quote:

Most people know Steroid meds cause weight gain, but I didn't know it was b/c of water retention?


Yes. They will cause sodium retention which causes volume retention.
That's the short term reason. Long term weight gain from them is entirely different.
quote:

Would/Could a diuretic off set that?

Yes. The question is "how much." It cannot be predicted across all patients with great accuracy. So a patient teetering on the edge may be pushed over (into heart failure). A patient who's well-controlled may not even notice.
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