153 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
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Diagnosis Algorithm ... - Urinary Chloride ... Remote use of loop ... or thiazide diuretics ... #causes #urinary
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... secreting tumor, Primary ... • HTN Absent: Loop ... and thiazide diuretics ... #causes #potassium
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... anhydrase inhibitors, loop ... syndrome (mimics loop ... #Hypokalemia #Causes ... #differential #
Increased Urination - Differential Diagnosis Framework - Increased Volume / Frequency
 • Increased osmotic load (Increased
Increased Urination - Differential ... kidney disease, Loop ... Diuretics, Recovery ... Increased #Urination #Differential ... #Diagnosis #Urinary
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... - Differential ... Diagnosis Algorithm ... Urine Mg > 10g • Loop ... #Differential #
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
- Differential ... Diagnosis Algorithm ... starts by measuring urinary ... Clinicians should also look ... Post-hypercapnia • Diuretics
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Adenoma • Remote Diuretics ... - Loop or Thiazides ... Mineralocorticoid • Primary ... - Loop or Thiazides ... metabolic #alkalosis #algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary ... Medications - Loop ... and thiazide diuretics ... Hypomagnesemia #Differential ... Classification #Causes
Diuretics - Pharmacology

Thiazides diuretics:
 • Inhibit Na+ Cl- cotransporter in distal tubule
 • Chlorothiazide, Chlorthalidone, Indapamide,
Diuretics - Pharmacology ... Thiazides diuretics ... Metolazone Loop ... nephrology #conversion #loop ... #thiazide #classes