Loop cardiology - GrepMed

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Pharmacology of diuretics

Acetazolamide, Loop diuretics, Thiazide‐like diuretics, MRA, Amiloride

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,

Acetazolamide, Loop ... HalfLife #Dosing #Loop ... Thiazide #CHF #Cardiology

Loop diuretic PO --> IV conversions

Furosemide 40 mg PO = Furosemide 20 mg IV =

Loop diuretic PO ... #Pharmacology #Cardiology ... #Loop #Diuretics

Loop diuretic conversion - Equivalent Doses
Furosemide (Lasix) 40 mg PO = Furosemide 20 mg IV =

Loop diuretic conversion ... #Pharmacology #Cardiology ... #Loop #Diuretic

Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload.

(B) Treatment algorithm after

Total loop diuretic ... maximal dose for IV loop ... following a single loop ... #HeartFailure #Cardiology

Dextrocardia on EKG
• Limb leads look like LA ←→ RA transposition
• V1 ←→ V2

• Limb leads look ... V2 • V3 - V6 look ... electrocardiogram #cardiology

Cardiac Event Monitors
• Holter Monitor - Records every heart beat for 24-48 hours
• Loop/Event

24-48 hours • Loop ... • Implantable Loop ... Monitors #heart #cardiology

1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust

is your cue to look ... #Clinical #EM #Cardiology

Cardiac Event Monitors - Heart Monitor Comparison
- Holter - 24-48 hrs

- Implantable Loop ... Comparison #cardiac #cardiology ... #holter #cardiology

De Winter T-Waves on EKG
- Anterior OMI
- 2% of left anterior descending occlusions
-

after STEMI - look ... aVR (0.5-1mm) Look ... Electrocardiogram #diagnosis #cardiology

Parasternal Short axis, fan proximal and look for Aortic Valve in a plane shows all three

fan proximal and look ... POCUS #Clinical #cardiology

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