Diuresis: hepatology vs nephrology vs cards : r Residency - Reddit Diuresis: hepatology vs nephrology vs cards hello heart liver kidney fellows attendings Within the realms of cirrhosis, CKD nephrotic syndrome, CHF: how do you guys approach diuresis ? Specifically: how fast do you diurese inpatient outpatient? What strategies do you find work well? How do you decide on a maintenance diuretic outpatient?
Is diuresing through the chest tubes real? : r IntensiveCare Non-pharmacological diuresis would be ultrafiltration via renal replacement therapy Large volume drainage from say a paracentesis or the chest drain output you mention can contribute to restoring euvolemia but it is not diuresis per se "Diuresis" is inaccurate short hand for volume loss in this case
Loop diuretic in the setting of decompensated heart failure It's probable that decongestion diuresis will ultimately paradoxically raise the BP via improvement of Frank-Starling and improvement in stroke volume, but in order to get there, patient may need BP support
Does anyone here actually check urine sodium to see if . . . - Reddit Personally, I rely on a lot of other ways to check for diuresis: Pt weight Bicarbonate for contraction Urine output Bun and creatinine Imaging if indicated Physical exam Pt report: “doc I’m pissing a metric shit ton”
Why do diuretics decrease lactic acidosis in heart failure? : r . . . Loop (mainly) and thiazide diuretics can cause metabolic alkalosis through volume depletion and the subsequent increase in ECF bicarb concentrations with increased wasting of Cl This can resolve lactic acidosis in addition to the beneficial effects on decreased volume status in CHF
The power of diuresis : r nursing - Reddit So I’m admittedly shit at interpreting imaging, but doesn’t air space usually appear dark? So while the image on the left looks like total garbage with some big old effusion, why is the image in the right totally opaque? Edit: grammar