2376 results
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented
Diuretic Resistant:
be prevented Diuretic ... maximal doses of diuretic ... Diuretic Intractable ... diagnosis #management #algorithm ... #treatment #hepatology
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
fludrocortisone step 3 = diuretic ... determine response to diuretic ... criticalcare #treatment #diuretics ... #diuresis #nephrology ... #algorithm
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
Flowchart to diuretic ... (B) Treatment algorithm ... Total loop diuretic ... #Diuretic #Diuresis ... #CHF #Algorithm
Diuretic Electrolyte Excretion Effects 
Diuresis, Na+, K+, Mg2+, Ca2+, Cl-, HCO3-, Uric Acid
 - Thiazide Type
Diuretic Electrolyte ... Excretion Effects Diuresis ... Anhydrase Inhibitor #diuretics
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
Hyponatremia Treatment Algorithm ... consider adding loop diuretic ... -> free water diuresis ... Hyponatremia #Treatment #Algorithm
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
Diuresis in Critical ... Start with LOOP DIURETICS ... , address diuretic ... refractory to diuresis ... @nickmmark #Diuresis
Diuretics sites of action on the nephron
1) Acetazolamide (carbonic anhydrase inhibitor)
2) Osmotic diuretics (e.g. mannitol)
3) Loop
Diuretics sites ... inhibitor) 2) Osmotic diuretics ... mannitol) 3) Loop diuretic ... Thiazides-type diuretics ... Potassium-sparing diuretics
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 • Primary
Differential Diagnosis Algorithm ... 3L /day Water Diuresis ... Insipidus Mixed Diuresis ... Failure Solute Diuresis ... Differential #Diagnosis #Algorithm
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Never Work-horse Diuretic ... Antagonist Combination Diuretics ... - Add-on Loop Diuretics ... Management #cirrhosis #hepatology
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
Differential Diagnosis Algorithm ... Syndrome • Osmotic Diuresis ... Acetazolamide and Thiazide Diuretics ... Differential #Diagnosis #Algorithm