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Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... #Diuresis #Nephrology ... #Pharmacology # ... Medications #Table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, K-sparing diuretics ... VBG (acidosis), CK ... Elimination (see Table ... Transient, repeat dose ... #potassium #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... #differential #diagnosis ... #table #sodium ... #nephrology
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... (Max of 3 doses) ... - consider ITU ... considerations: Addison's, Renal ... #algorithm #treatment
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented
Diuretic Resistant:
intake Maximum Doses ... complications: • Renal ... <125mmol/L • K: ... Refractory #Ascites #diagnosis ... #management #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
excreted using diuretics ... adjusting the dose ... #algorithm #management ... #criticalcare #icu ... #clinical #pharmacology