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Diagnosis and treating congestive great failure in patients with poor kidney function

A 41-year-old obese male patient is diagnosed with congestive heart failure (CHF). He is told to begin a moderate exercise routine with a healthy diet and is prescribed several medications — including a diuretic.

Based on your knowledge of the kidney and the disease of CHF, what factors would be important in selecting a specific diuretic?

How would you explain to this patient how it works?

If this patient developed a disease that caused the renal blood flow to be diminished, how might this impact the medication he is taking for his congestive heart failure? I

As his health care provider, how would you change his treatment in this situation?

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