116 results
Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Acetazolamide, Loop ... HalfLife #Dosing #Loop ... #Thiazide #CHF ... #Cardiology #Management
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 ... HeartFailure #Cardiology #Management
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment Algorithm ... CHF, Cirrhosis ... consider adding loop ... Hyponatremia #Treatment #Algorithm ... #Management
US demonstrating a dilated loop of bowel with retrograde peristalsis (to and from sign or "whirling")
demonstrating a dilated loop ... POCUS #Abdomen #SBO
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A
Guideline for the Management ... #HeartFailure #Management ... #CHF #guideline ... cardiology #treatment #algorithm ... #sCHF
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
• Digoxin *Loop ... patients #hfref #management ... #medications #chf
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
Causes of Acute Dyspnea - Differential Diagnosis Algorithm
Cardiovascular
 • Myocardial Infarction*
 • Cardiac Tamponade*
 • CHF
Pleural
Differential Diagnosis Algorithm ... Tamponade* • CHF ... Acute #Dyspnea #SOB ... Differential #Diagnosis #Algorithm
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
water @ 3cc/kg/h, loop ... desmopressin MH/CCF ... Correction #goal #rate #management
NSAIDS and their effects on the Kidney - Pathophysiology

Arachidonic Acid metabolites into alternative pathways that modify
reabsorption in Proximal, loop ... component of Nephron: CHF