32 results
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 ... #CHF #Algorithm ... HeartFailure #Cardiology #Management
Pharmacology of diuretics

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

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Acetazolamide, Loop ... Pharmacology #Comparison #Table ... HalfLife #Dosing #Loop ... #Thiazide #CHF ... #Cardiology #Management
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment Algorithm ... CHF, Cirrhosis ... consider adding loop ... diuretic Reset ... #Management
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
GI Uptake - Poor ... Medications - Loop ... Differential #Diagnosis #Low ... #Magnesium #Table ... #Classification
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
Can Be On" • Diuretics ... • Digoxin *Loop ... diuretics preferred ... patients #hfref #management ... #medications #chf
Hypernatremia Classification and Features According to Volume Status
 - Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,
Hypernatremia Classification ... , Loop diuretics ... Postobstructive diuresis ... Hypernatremia #Classification ... Diagnosis #Comparison #Table
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... Principles Low ... Never Work-horse Diuretic ... - Add-on Loop Diuretics ... ebtapper #Ascites #Management
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Normal Acid-Base: Low ... • HTN Absent: Loop ... and thiazide diuretics ... Differential #Diagnosis #Algorithm
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Diuresis in Critical ... • Start with LOOP ... DIURETICS which ... aldosterone states (CHF ... Fluid #Balance #management
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Differential Diagnosis Algorithm ... Urine Mg > 10g • Loop ... Diuretics • Hypercalcemia-PTH ... syndrome • Thiazide Diuretics ... Hypomagnesemia #Magnesium #Low