716 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 ... hyperkalemia #kaliuresis #management ... criticalcare #treatment #diuretics ... #diuresis #nephrology
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
Flowchart to diuretic ... Total loop diuretic ... #Diuretic #Diuresis ... #HeartFailure #Cardiology ... #Management
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
Can Be On" • Diuretics ... Reducing: • Diuretics ... metolazone in diuretic ... patients #hfref #management ... 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 ... Thiazide #CHF #Cardiology ... #Management
Loop diuretic PO --> IV conversions 

Furosemide 40 mg PO = Furosemide 20 mg IV =
Loop diuretic PO ... #Pharmacology #Cardiology ... #Loop #Diuretics
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Hypernatremia - Differential ... concentrating defect: • Diuretics ... • Osmotic diuresis ... Hypernatremia #Differential
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
Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
• Malignancy 
• Milk-alkali syndrome 
• Vitamin D toxicity 
•
disease • Thiazide diuretics ... Electrocardiogram #Differential ... Causes #Diagnosis #Cardiology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
thiazide-like diuretics ... Postobstructive diuresis ... , Osmotic diuresis ... mimics thiazide diuretic ... Hypokalemia #Causes #differential
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... Never Work-horse Diuretic ... Antagonist Combination Diuretics ... - Add-on Loop Diuretics ... ebtapper #Ascites #Management