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diagnosis differential nephrology treatment hypokalemia hyperkalemia low pharmacology metabolic alkalosis criticalcare diuresis hypercalcemia hypomagnesemia medications table acute cardiology chf chloride
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
Diuretics - Pharmacology Thiazides diuretics: • Inhibit Na+ Cl- cotransporter in distal tubule • Chlorothiazide, Chlorthalidone, Indapamide,
Metolazone Loop ... Piretanide Potassium ... Pharmacology #nephrology #conversion ... #loop #thiazide ... #classes
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Differential Diagnosis Algorithm ... Clinicians should also look ... Post-hypercapnia • Diuretics ... differential #diagnosis #algorithm ... #potassium
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
minutes) Decrease potassium ... Fluids Shift potassium ... renal function) - Loop ... diuretic (often ... #Hyperkalemia #management
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 Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
Causes of Hypomagnesemia ... Saline or osmotic diuresis ... - Potassium depletion ... disease Drugs: - Loop ... Hypomagnesemia #Causes
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
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... Remote use of loop ... pressure: Active diuretic ... Differential #Diagnosis #Algorithm ... #causes #urinary
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... Saline or osmotic diuresis ... , Potassium depletion ... disease • Drugs: Loop ... Hypomagnesemia #Causes
Diuresis in Critical Care - Achieving a Negative Fluid Balance Advantages Of A Negative Fluid Balance: •
Diuresis in Critical ... • Start with LOOP ... DIURETICS which ... ) to normalize Potassium ... Fluid #Balance #management
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