57 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 ... #CHF #Algorithm
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Hypomagnesemia - Differential ... Diagnosis Algorithm ... Urine Mg > 10g • Loop ... #Low #Causes #Differential ... #Diagnosis #Algorithm
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment Algorithm ... consider adding loop ... diuretic Reset ... -> free water diuresis ... Hyponatremia #Treatment #Algorithm
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... • HTN Absent: Loop ... and thiazide diuretics ... #Diagnosis #Algorithm
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
anhydrase inhibitors, loop ... diuretics, and ... syndrome (mimics loop ... diuretic use), ... Hypokalemia #Causes #differential
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... Remote use of loop ... or thiazide diuretics ... pressure: Active diuretic
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Adenoma • Remote Diuretics ... - Loop or Thiazides ... Hyperaldosteronism • Recent Diuretics ... - Loop or Thiazides ... metabolic #alkalosis #algorithm
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
Hypophosphatemia - Differential ... Diagnosis Algorithm ... Syndrome • Osmotic Diuresis ... #LowPhosphate #Differential ... #Diagnosis #Algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Medications - Loop ... and thiazide diuretics ... Hypokalemia - Osmotic diuresis ... Post-obstructive diuresis ... Hypomagnesemia #Differential
Increased Urination - Differential Diagnosis Framework - Increased Volume / Frequency
 • Increased osmotic load (Increased
Increased Urination - Differential ... • Physiologic Diuresis ... kidney disease, Loop ... Diuretics, Recovery ... Increased #Urination #Differential