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Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
use in acute heart ... (B) Treatment algorithm ... Total loop diuretic ... following a single loop ... #CHF #Algorithm
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... syndrome (mimics loop ... Hypomagnesemia, Acute ... #Hypokalemia #Causes ... #differential #
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... Remote use of loop ... #Diagnosis #Algorithm ... #causes #urinary
Diuretics - Pharmacology

Thiazides diuretics:
 • Inhibit Na+ Cl- cotransporter in distal tubule
 • Chlorothiazide, Chlorthalidone, Indapamide,
Diuretics - Pharmacology ... Metolazone Loop ... 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 ... #diagnosis #algorithm
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... (<72 hours) - Differential ... Diagnostic Algorithm ... Look for surgical ... disease (e.g., Diabetic
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
Hypophosphatemia - Differential ... Diagnosis Algorithm ... Refeeding Syndrome • Acute ... • Acute Volume ... endocrinology #causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... - Differential ... Diagnosis Algorithm ... Renal losses, Diuretic ... UNa > 20: • Acute
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 Hypomagnesemia
Redistribution:
 - IV glucose
 - Correction of diabetic ketoacidosis
 - IV hyperalimentation
 - Refeeding
Causes of Hypomagnesemia ... starvation - Acute ... disease Drugs: - Loop ... Hypomagnesemia #Causes ... #diagnosis #differential