38 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... fludrocortisone step 3 = diuretic ... determine response to diuretic ... #diuretics #diuresis ... #nephrology #algorithm
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
Flowchart to diuretic ... (B) Treatment algorithm ... Total loop diuretic ... diuretics is generally ... #Diuretic #Diuresis
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
plasma insulin (treatment ... diuretics, and ... , Osmotic diuresis ... diuretic use), ... Hypokalemia #Causes #differential
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Algorithm CHF ... consider adding loop ... diuretic Reset ... -> free water diuresis ... #Algorithm #Management
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Medications - Loop ... and thiazide diuretics ... Hypokalemia - Osmotic diuresis ... Post-obstructive diuresis ... Hypomagnesemia #Differential
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Differential Diagnosis ... Algorithm Primary ... Effects • Thiazide Diuretics ... • Unregulated Conversion ... #Differential #
Increased Urination - Differential Diagnosis Framework - Increased Volume / Frequency
 • Increased osmotic load (Increased
• Physiologic Diuresis ... Post-obstructive diuresis ... kidney disease, Loop ... Diuretics, Recovery ... phase of ATN, Hypercalcemia
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diuretics and Agents ... +2Cl- Symport (Loop ... Diuretics; High-Ceiling ... Hyponatremia • Hypercalcemia ... Tolvaptan) • Treatment
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Hypomagnesemia - Differential ... Diagnosis Algorithm ... Urine Mg > 10g • Loop ... DiureticsHypercalcemia-PTH ... syndrome • Thiazide Diuretics
Algorithm for Management of Acute and Chronic Hyperkalemia
Acute Hyperkalemia:
 - IV calcium (10 mL of 10%)
Algorithm for Management ... sodium bicarbonate, Diuretics ... ) - Effective diuretic ... therapy (loop diuretics ... Acute #Chronic #treatment