@Article{, title={Furosemide in Hypovolemic shock}, author={Khalid Ali Khaleel خالد علي خليل}, journal={Al-Kindy College Medical Journal مجلة كلية الطب الكندي}, volume={16}, number={2}, pages={39-44}, year={2020}, abstract={Background: Shock is a common clinical state, we face chocked patients in causality, surgical and gynecological specialties like stab wounds, road traffic accidents, placenta Previa, placenta accrete, placenta pericreta, ectopic pregnancy, perforated viscus, etc. All such patients undergo surgical exploration and the majority of them are shifted to ICU to complete monitoring and support. A high percentage of them develop acute kidney injury intra and postoperatively and carry a high mortality rate because of not-so-good nursing care in ICU in Iraq.Aim of the Study: to clarify that Furosemide can protect kidney function during shock and reduce ICU admission and mortality rate.Method: 100 shocked patients were enrolled in this study which was done in the medical city hospital, Al-Sadder General hospital, and Alkindi teaching hospital in Iraq/Baghdad from January 2019 to June 2020. Patients were divided into 2 groups: group SN this includes 50 patient who received 2 ml normal saline as placebo(control group)and second group SL which include 50 patient who received 2 ml (20 mg) furosemide (study group). This trial was a double-blind study, both the patient and the junior anesthesia doctor do not know about the study conducted. patients below the age of 14 years were excluded from the study.98 patients of those 100 patients were involved in multiple stab wound injuries, multiple bullet injuries, and road traffic accidents, and only 2 patients were diagnosed with ectopic pregnancy. Result: ICU admission and mortality rate was less in patients receiving furosemide compared to patients who received placebo (2% and 14% versus 1%and 7%respectively).Conclusion: furosemide reduces ICU admission and mortality rate in shocked patients.

} }