32 results
Pharmacology of diuretics

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

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Action, Maximum Dose ... Half-Life, Onset, Bioavailability ... Pharmacology #Comparison #Table ... #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 ... Diuretic #Diuresis #CHF ... #Algorithm #Congestive ... HeartFailure #Cardiology #Management
Evaluation and Management of Hyperkalemia

As with hypokalemia, the immediate danger of hyperkalemia is its effect on
Evaluation and Management ... of Hyperkalemia ... As with hypokalemia ... absence of symptoms does ... #Evaluation #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Repeat 12-milligram dose ... pulmonary disease or CHF ... pulmonary disease or CHF ... Tachycardia #Treatment #management ... #cardiology #algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
/ IBD Renal Loses ... Medications - Loop ... abnormalities - Hypercalcemia ... - Hypokalemia ... Low #Magnesium #Table
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... Albuterol (4-8x dose ... renal function) - Loop ... LouLectures #Hyperkalemia ... #management #potassium
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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... Elimination (see Table ... Transient, repeat dose ... Diuretics (IV loop ... acetazolamide) - IV loop
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
Optimize BB to target dose ... increasing ACEI or ARB dose ... • Digoxin *Loop ... patients #hfref #management ... #medications #chf
Emergency Therapy of Hyperkalemia
Therapy - Dose and Route - Onset of Action - Duration of Effect
Emergency Therapy of Hyperkalemia ... Therapy - Dose ... Hemodialysis #Hyperkalemia ... #management #pharmacology ... #table #treatment