2926 results
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 ... CHF #Cardiology #Management
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 #Management
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
consider adding loop ... Treatment #Algorithm #Management
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... Diuretics - Add-on Loop ... ebtapper #Ascites #Management
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
renal function) - Loop ... #Hyperkalemia #management
Cardiac Event Monitors - Heart Monitor Comparison
 - Holter - 24-48 hrs
- Implantable Loop ... holter #cardiology #management
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
• Digoxin *Loop ... patients #hfref #management
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
water @ 3cc/kg/h, loop ... Correction #goal #rate #management
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... ascending limb of the loop ... SatyaPatelMD #SIADH #Management
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
diary Implantable Loop ... Comparison #cardiology #management