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diagnosis differential nephrology management hypokalemia potassium hyponatremia treatment cardiology hyperkalemia pharmacology alkalosis hypomagnesemia metabolic table workup chloride classes criticalcare magnesium
Flowchart to diuretic use in acute heart failure. (A) Congestion with volume overload. (B) Treatment algorithm after
(B) Treatment algorithm ... Total loop diuretic ... intravenous; SGLT2‐I, sodium–glucose ... following a single loop ... #CHF #Algorithm
Diuretics - Pharmacology Thiazides diuretics: • Inhibit Na+ Cl- cotransporter in distal tubule • Chlorothiazide, Chlorthalidone, Indapamide,
Metolazone Loop ... as no effect on sodium ... Pharmacology #nephrology #conversion ... #loop #thiazide ... #classes
Ascites Management Principles Low Salt Diet - 2000 Mg Sodium Fluid Restriction - Never Work-horse Diuretic - Aldosterone Antagonist Combination
Management Principles Low ... Diet - 2000 Mg Sodium ... Never Work-horse Diuretic ... Antagonist Combination Diuretics ... - Add-on Loop Diuretics
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... Remote use of loop ... - Normal/low ... Differential #Diagnosis #Algorithm ... #causes #urinary
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Medications - Loop ... and thiazide diuretics ... Differential #Diagnosis #Low ... Magnesium #Table #Classification ... #Causes #Workup
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 ... Hypomagnesemia #Magnesium #Low ... #Causes #Differential
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... • HTN Absent: Loop ... and thiazide diuretics ... Differential #Diagnosis #Algorithm ... #causes #potassium
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... Differential Diagnosis Algorithm ... tubular transport • Diuretics ... (loop/thiazide) ... #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... Remote use of loop ... alkalosis • Normal/low ... pressure: Active diuretic ... the indicated causes
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... water loss, Serum Sodium ... administration • Osmotic diuresis ... mannitol, glucosuria Low ... #Causes
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