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diagnosis nephrology differential hyperkalemia cardiology pharmacology criticalcare foamed hypercalcemia hypokalemia medications chf clinical diuresis diuretics heartfailure high hyponatremia malignancy rhabdomyolysis
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
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
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... Fluids Shift potassium ... renal function) - Loop ... diuretic (often ... #Hyperkalemia #management
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
Diabetic Ketoacidosis Management Priorities 1. Fluids 2. Insulin 3. Potassium 4. Acidosis 5. Re-establish oral fluids,
Management Priorities ... Potassium 4. ... Identification and treatment ... an underlying cause ... Ketoacidosis #Diabetes #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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
only if no clear cause ... Elimination (see Table ... (IV loop diuretic ... acetazolamide) - IV loop ... #Treatment #potassium
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... Monitor potassium ... Loop diuretics for ... #Summary #causes ... #treatment
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... +2Cl- Symport (Loop ... Kidney stones caused ... Tolvaptan) • Treatment ... #Medications #Table
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