134 results
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
(B) Treatment algorithm ... Total loop diuretic ... following a single loop ... #CHF #Algorithm ... HeartFailure #Cardiology #Management
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
fludrocortisone step 3 = diuretic ... determine response to diuretic ... hyperkalemia #kaliuresis #management ... #diuresis #nephrology ... #algorithm
Pharmacology of diuretics

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

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Pharmacology of diuretics ... Acetazolamide, Loop ... diuretics, MRA, ... HalfLife #Dosing #Loop ... CHF #Cardiology #Management
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 ... #Management
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
Can Be On" • Diuretics ... • Digoxin *Loop ... diuretics preferred ... metolazone in diuretic ... patients #hfref #management
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
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... Never Work-horse Diuretic ... Antagonist Combination Diuretics ... - Add-on Loop Diuretics ... ebtapper #Ascites #Management
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
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Diuresis in Critical ... • Start with LOOP ... DIURETICS which ... , address diuretic ... Fluid #Balance #management