7 results
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
edema - Large effusion ... nitroglycerine infusion ... (no B-lines on ultrasound ... NSAlDs, ACE-inhibitors ... #Cardiogenic #HeartFailure
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
bilateral pleural effusions ... endomyocardial biopsy Pharmacology ... : • ACE Inhibitors ... Jcortesizaguirr #HFrEF #heartfailure ... management #cardiology #pharmacology
Effects of Prostaglandins and NSAIDs on the Kidney
Effects of Prostaglandins on the Kidney:
 • The vasodilatory
decreased renal perfusion ... hormones that act ... to improve the perfusion ... Kidney #renal #nephrology ... #pharmacology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... importantly, bedside ultrasound ... Adequate perfusion ... table #foamed #heartfailure ... icu #clinical #pharmacology
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
its Chloride (Cl ... are balanced by Cl ... ECF and ICF both work ... blood flow and perfusion ... diagnosis #treatment #pharmacology
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Diagnosis and Workup ... Blood Work: - ... Fractional excretion of Cl ... - Normal Renal Ultrasound ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
diuretics, Saline infusion ... reabsorption) Workup ... Ca-gluconate or 1g CaCl ... Treatment #potassium #nephrology