A 63 year old cirrhotic female with diuretic-responsive ascites reports that she feels unsteady on her feet, and nearly fell on multiple occasions. She is on a regimen of furosemide 160 mg per day and spironolactone 400 mg per day (both max doses). You recognize this may be a side effect of diuresis. Which of the following is not a good explanation for this chief complaint?
A. hyponatremia
B. hypokalemia
C. hypotension
D. hypercalcemia
Answer:C
A 63 year old cirrhotic female with diuretic-responsive ascites reports that she feels unsteady on her feet, and nearly fell on multiple occasions. She is on a regimen of furosemide 160 mg per day and spironolactone 400 mg per day (both max doses). You recognize this may be a side effect of diuresis. Which of the following is not a good explanation for this chief complaint?
A. hyponatremia B. hypokalemia C. hypotension D. hypercalcemia