15 results
Pharmacology of diuretics

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

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Thiazide‐like diuretics, MRA ... #Comparison #Table ... #HalfLife #Dosing ... Loop #Thiazide #CHF ... #Cardiology #Management
Beta Blockers - Pharmacology Comparison Table
Metoprolol:
 • Receptors: β1
 • Indications: Rate control of a-fib/a-flutter, Suppression
Comparison Table ... syndrome, Post-MI ... in pt w/o CAD/HF ... #Comparison #Table ... #Receptors #cardiology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Cardiogenic: Acute MI ... Arrhythmias / CHB ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... failure, acute MI ... findings based on cause ... #table #comparison ... #criticalcare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
- Differential Diagnosis ... contractility) - Acute MI ... exacerbation (any cause ... Classification #Table ... #CriticalCare
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
a significant reserve ... non-perfused vessels and causes ... In these cases comparison ... a period of CHF ... #Clinical #Radiology
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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What’s the diagnosis ... increased blood volume during ... and other rarer causes ... of right-sided HF ... clinical #video #jvp #cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
• They must be able ... production to cause ... Avoid in pts with severe ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... ancestry, LGE on MRI ... May have typical HF ... Delivery • Stable ... #management #cardiology
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
exercise, after acute MI ... strongly consider using ... decompensated CHF ... management #treatment #comparison ... #table