13 results
#visualabstract #metolazone #loopdiuretic #heartfailure
visualabstract #metolazone ... #loopdiuretic #
Guidelines Directed medical therapy for Heart Failure 

Satyendra Dhar, MD, @DharSaty

#HFrEF #GDMT #sodium-glucosecotransporter-2inhibitors #SGLT2i #reninangiotensinaldosteronesysteminhibitors
MineralocorticoidReceptorAntagonist #LoopDiuretic
Diuretics - summary table
Thiazides and Related Diuretics: HCTZ, Chlorthalidone, Metolazone, Indapamide, Bendroflumethiazide 
Loop Diuretics: Furosemide, Ethacrynic
Chlorthalidone, Metolazone
Diuretics sites of action on the nephron
1) Acetazolamide (carbonic anhydrase inhibitor)
2) Osmotic diuretics (e.g. mannitol)
3) Loop
Chlorthalidone, Metolazone
Pharmacokinetics of commonly used diuretics medications in CKD, Cirrhotic Ascites, and Heart Failure
 • Furosemide
 •
Chlorthalidone • Metolazone
Nephron Remodeling as a Mechanism of Diuretic Resistance. When high doses of loop diuretics are used
Pathophysiology #Nephro #IM #LoopDiuretic
Summary of Diuretic Agents 
Subclass, Drug, Mechanism of Action, Effects, Clinical Applications, Pharmacokinetics, Toxicities, Interaction
CARBONIC ANHYDRASE
Hydrochlorothiazide • Metolazone
Mechanisms of Loop Diuretic Action and Resistance. Panel A, loop diuretics circulate bound to protein. As
Pathophysiology #Nephro #IM #LoopDiuretic
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
preferred (add metolazone
Heart Failure Medications Summary
Inhibitors of the Renin-Angiotensin System:
 • ACE Inhibitors: Benazepril, Captopril, Enalapril, Lisinopril, Quinapril,
Chlorthalidone, Indapamide, Metolazone