Patient's question:
Thank you! Can I continue with the question about mannitol? You mentioned before that his heart failure was very severe, and he definitely still has pulmonary edema. In this situation, can 20% mannitol 125ml be used? Because I checked that pulmonary edema is contraindicated, and it can also worsen heart failure. Can furosemide be used instead to prevent brain edema? If a catheter is not left in place, is there a possibility that he may not be able to urinate? He was already having difficulty urinating.Doctor's answer:
Analysis of the condition: Main manifestations: Heart failure and pulmonary edemaAdvice: Hello, in terms of preventing cerebral edema, furosemide can be used as an alternative to mannitol, but the effect of furosemide may not be as good as mannitol. Moreover, the patient has kidney failure, and furosemide acts on the renal medullary collecting duct, so its effectiveness may also be limited. Whether to leave in an indwelling catheter depends on whether the patient can urinate independently. If they can, an indwelling catheter may not be necessary. If urination is difficult, an indwelling catheter is required.