this is accurate and important, but it should be a *discussion* between ID and the ICU team
it drives me batty when the ID service recommends changing antibiotics to avoid excess sodium administration
usually best for ID to rec the best antibiotic. I'll diurese the patient as needed. #diuresisjedi
Give diuretics as boluses
look at Chloride, k+ and pH
Multimodal diuresis
Not every form of "heart failure" need diuretics in the firsts hours
#EMIMCC
#DiuresisJedi
#Deresuscitation
Day 2 of #ACCAsia. Photo op with none other than @jimjanuzzi.bsky.social after his amazing talks about duo of diuretics + GDMT
#GDMTworks #HeartFailure #DiuresisJedi
@accintouch.bsky.social
With Prof Carolyn Lam and Prof Bambang Siswanto
With prof Filippatos
First #CardioSky post!
Recently returned from #AFCC2024 in Singapore—had a blast!
Love the interactive format promoting #CVprev through fitness challenges,&the cultural gala night was amazing
Grateful to participate as faculty, met all the experts, chair a session,&speak on #diuresisjedi #MedSky
I’ve often quoted in talks that pendrin is an attractive target for the next class of diuretics. Little did I know that it might already exist .
So who’s using probenacid to augment diuresis? #diuresisjedi
https://pubmed.ncbi.nlm.nih.gov/30050451/
Another thought. If RAS activation is not harmful during decongestion and in low flow states efferent constriction is vital in maintaining Pgc, then in certain situations could AngII be (dare I say) beneficial in these patients? #diuresisjedi
Maybe pendrin will be the target for the next diuretic??
Good articles regarding the above here:
https://pubmed.ncbi.nlm.nih.gov/20389022/
and here:
https://pubmed.ncbi.nlm.nih.gov/25794953/
#diuresisjedi
In your volume overloaded patients with diuretic resistance and hyponatremia <125 mEq/L, do you still augment with a thiazide? #nephtwitter #diuresisjedi
Yet again, diamox for the win. One of the cheapest ways to get heart failure patients to pee. #diuresisjedi
Floor team: “hi, is it OK to give 20 mg IV Lasix for this pt in AKI?”
Nephrology fellow: “20 mg? You could give that to me if you want, how about 200 mg for the patient, please?” #DiuresisJedi 😏 @ashraf_dwal
