363 results
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 ... #Diuretic #Diuresis ... #CHF #Algorithm ... #HeartFailure #Cardiology
Loop diuretic PO --> IV conversions 

Furosemide 40 mg PO = Furosemide 20 mg IV =
Loop diuretic PO ... #Pharmacology #Cardiology ... #Loop #Diuretics
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... • Hypovolemic: Diuretics ... osmotic (solute) diuresis ... #Algorithm #nephrology
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 ... medications #chf #cardiology
Pharmacology of diuretics

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

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Pharmacology of diuretics ... Acetazolamide, Loop diuretics ... Thiazide‐like diuretics ... Absorption #Diuretics ... Thiazide #CHF #Cardiology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Diuretics (discontinued ... #Differential #Algorithm ... Diagnosis #Causes #Workup
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Loop and thiazide diuretics ... Hypokalemia - Osmotic diuresis ... Post-obstructive diuresis ... Classification #Causes #Workup
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... volume loss - diuretics ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Algorithmic Approach and Differential Diagnosis - Hypercalcemia
#Diagnosis #Hypercalcemia #Differential #Algorithm #Workup
Algorithmic Approach ... #Differential #Algorithm ... #Workup