54 results
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... Total loop diuretic ... maximal dose for IV loop ... following a single loop ... Diuresis #CHF #Algorithm
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment ... Algorithm CHF ... consider adding loop ... Reset Osmostat - Treatment ... #Algorithm #Management
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Remote Diuretics - Loop ... Recent Diuretics - Loop ... metabolic #alkalosis #algorithm
US demonstrating a dilated loop of bowel with retrograde peristalsis (to and from sign or "whirling")
demonstrating a dilated loop ... ) #Clinical #POCUS
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... • HTN Absent: Loop ... Differential #Diagnosis #Algorithm
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Differential Diagnosis Algorithm ... Urine Mg > 10g • Loop ... Differential #Diagnosis #Algorithm
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... renal function) - Loop
ACUTE ABDOMEN systemic sonographic approach to acute abdomen in emergency 
department - Mnemonic and Differential

A -
Distended bowel loop ... Differential #Diagnosis #POCUS
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Differential Diagnosis Algorithm ... • Diuretics (loop ... Differential #Diagnosis #Algorithm
Tinnitus - Subjective (heard only by patient) - 90% - Differential Diagnosis Algorithm
Unilateral On Audiogram -
Differential Diagnosis Algorithm ... Propranolol, Levodopa, Loop ... Differential #Diagnosis #Algorithm