2990 results
Outpatient Hypertension Management Algorithm
Monotherapy: 
 • Thiazide/thiazide-like 
 • ACE-I (non-black patients), 
 • ARB
Outpatient Hypertension Management ... ACE-I or ARB + Diuretic ... #Hypertension #Management ... #Algorithm #PrimaryCare
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
fludrocortisone step 3 = diuretic ... determine response to diuretic ... hyperkalemia #kaliuresis #management ... criticalcare #treatment #diuretics ... #diuresis #nephrology
Diuretic Electrolyte Excretion Effects 
Diuresis, Na+, K+, Mg2+, Ca2+, Cl-, HCO3-, Uric Acid
 - Thiazide Type
Diuretic Electrolyte ... Excretion Effects Diuresis ... Anhydrase Inhibitor #diuretics
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
Flowchart to diuretic ... Total loop diuretic ... a single loop diuretic ... #Diuretic #Diuresis ... HeartFailure #Cardiology #Management
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 ... Fluid #Balance #management
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
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diuretics and Agents ... Altitude sickness • Diuretic ... irrigation • Management ... Symport (Loop Diuretics ... ; High-Ceiling Diuretics
Nephron Pathophysiology - Diuretic Sites of Action
Diuretics
1) Acetazolamide/canagliflozin
2) Osmotic agents (mannitol, urearetics)
3) Loop agents (eg, furosemide)
4)
Pathophysiology - Diuretic ... Sites of Action Diuretics ... Pathophysiology #Diuretics
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
Can Be On" • Diuretics ... Reducing: • Diuretics ... Digoxin *Loop diuretics ... metolazone in diuretic ... patients #hfref #management
Hyponatremia Treatment Algorithm

CHF, Cirrhosis - Fluid restriction
SIADH - Fluid restriction
 - Consider salt tablets if etiology
consider adding loop diuretic ... -> free water diuresis ... Treatment #Algorithm #Management