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Human Body & Health

Why does administering a loop diuretic to a patient with impaired renal function potentially lead to severe hypokalemia?

A)Enhanced potassium reabsorption in tubules
B)Increased aldosterone-mediated sodium retention
C)Reduced distal tubule potassium secretion
D)Diminished potassium reabsorption via Na/K/2Cl cotransporter

💡 Explanation

Loop diuretics inhibit the Na/K/2Cl cotransporter in the ascending limb of the loop of Henle, because this transporter is crucial for both sodium and potassium reabsorption. Therefore, potassium reabsorption is significantly diminished, leading to increased potassium excretion and hypokalemia, rather than enhanced reabsorption or effects on aldosterone.

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