Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Pharmacology of diuretics

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

Site of Action, Maximum Dose, Half-Life, Onset, Bioavailability,
Pharmacology #Comparison #Table ... Loop #Thiazide #CHF ... #Cardiology #Management
Beta Blockers - Pharmacology Comparison Table
Metoprolol:
 β€’ Receptors: Ξ²1
 β€’ Indications: Rate control of a-fib/a-flutter, Suppression
Pharmacology Comparison Table ... in pt w/o CAD/HF ... : Stable angina, ... Pharmacology #Comparison #Table ... #Receptors #cardiology
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... (cardiogenic pulmonary ... patients (ie., CHF ... hair) β€’ Risk Of Clinical ... #criticalcare #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... Decompensated CHF ... β€’ Obstructive: Pulmonary ... algorithm #treatment #management
Algorithm for screening/diagnosis and treatment/follow‐up of iron deficiency in patients with chronic heart failure. Hb, haemoglobin;
Iron #Deficiency #Management ... Diagnosis #HFrEF #sCHF ... #HeartFailure #Cardiology ... #Indications #Treatment
Heart Failure (HFrEF) Treatment - GDMT for stage C 

For patients with Heart Failure with REDUCED
getting patients on medication ... both of these medications ... /ambcarerx #CHF ... #Pharmacology #Management ... Treatment #StageC #Cardiology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Arrhythmias / CHB ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management ... #comparison #table
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Atrial Fibrillation RVR - Medications
Diltiazem
 β€’ Preferred in patients with chronic lung such as Asthma and
Fibrillation RVR - Medications ... decompensated CHF ... anyway to improve CHF ... #management #treatment ... #comparison #table