www.ahajournals.org/doi/abs/10.1... not directly relevant but in this study from 1960s, increasing furosemide dose increased antihypertensive effect even when diuresis did not increase. Doesn't say infusion has any less effect but does make me wonder
Antihypertensive Properties of Furosemide | Circulation
The antihypertensive properties of single doses of furosemide were evaluated in 113
patients. Doses over 120 mg consistently produced a fall in arterial pressure whereas
smaller doses did not. Thus 20...
www.ahajournals.org
November 10, 2025 at 8:50 PM
www.ahajournals.org/doi/abs/10.1... not directly relevant but in this study from 1960s, increasing furosemide dose increased antihypertensive effect even when diuresis did not increase. Doesn't say infusion has any less effect but does make me wonder
TBH diuretic infusions are dumb
for diureric-resistant patients, you need high-dose bolus diuretics to achieve concentrations high enough to cause diuresis
for diuretic-sensitive patients, it doesnt matter (either strategy will work fine)
more discussion here:
emcrit.org/ibcc/diurese...
for diureric-resistant patients, you need high-dose bolus diuretics to achieve concentrations high enough to cause diuresis
for diuretic-sensitive patients, it doesnt matter (either strategy will work fine)
more discussion here:
emcrit.org/ibcc/diurese...
a man in a suit and tie stands in front of tie racks
ALT: a man in a suit and tie stands in front of tie racks
media.tenor.com
November 9, 2025 at 2:02 AM
TBH diuretic infusions are dumb
for diureric-resistant patients, you need high-dose bolus diuretics to achieve concentrations high enough to cause diuresis
for diuretic-sensitive patients, it doesnt matter (either strategy will work fine)
more discussion here:
emcrit.org/ibcc/diurese...
for diureric-resistant patients, you need high-dose bolus diuretics to achieve concentrations high enough to cause diuresis
for diuretic-sensitive patients, it doesnt matter (either strategy will work fine)
more discussion here:
emcrit.org/ibcc/diurese...
Puppies (even old man puppies) don't understand time change 😭. Idk if dogs experience cold diuresis like humans do, but they can get diabetes (which is linked), so I imagine they do. And it is getting chilly.
November 7, 2025 at 12:28 PM
Puppies (even old man puppies) don't understand time change 😭. Idk if dogs experience cold diuresis like humans do, but they can get diabetes (which is linked), so I imagine they do. And it is getting chilly.
Check out the @pointofcaremed page to learn more about ADHF and inpatient diuresis!
www.pointofcaremedicine.com/cardiology/...
www.pointofcaremedicine.com/blog-post/d...
www.pointofcaremedicine.com/cardiology/...
www.pointofcaremedicine.com/blog-post/d...
October 29, 2025 at 9:00 PM
Check out the @pointofcaremed page to learn more about ADHF and inpatient diuresis!
www.pointofcaremedicine.com/cardiology/...
www.pointofcaremedicine.com/blog-post/d...
www.pointofcaremedicine.com/cardiology/...
www.pointofcaremedicine.com/blog-post/d...
Though historically some have tried using albumin to augment diuresis in nephrotic patients, the effect is modest and short-lived.
October 28, 2025 at 8:58 PM
Though historically some have tried using albumin to augment diuresis in nephrotic patients, the effect is modest and short-lived.
She lived to 17 when she was diagnosed with kidney failure at 13. When she was diagnosed with heart failure (I brought her to the vet ER for respiratory distress) at 17 they said I could admit her for diuresis. But I knew she would loathe it. It was time.
October 24, 2025 at 1:22 PM
She lived to 17 when she was diagnosed with kidney failure at 13. When she was diagnosed with heart failure (I brought her to the vet ER for respiratory distress) at 17 they said I could admit her for diuresis. But I knew she would loathe it. It was time.
Perspective by Richard H. Sterns and Helbert Rondon-Berrios:
Revisiting New Data on the Mortality Benefit of Rapid Correction of Hyponatremia: Déjà vu All Over Again
bit.ly/42Sl41K
Revisiting New Data on the Mortality Benefit of Rapid Correction of Hyponatremia: Déjà vu All Over Again
bit.ly/42Sl41K
October 23, 2025 at 4:03 PM
Perspective by Richard H. Sterns and Helbert Rondon-Berrios:
Revisiting New Data on the Mortality Benefit of Rapid Correction of Hyponatremia: Déjà vu All Over Again
bit.ly/42Sl41K
Revisiting New Data on the Mortality Benefit of Rapid Correction of Hyponatremia: Déjà vu All Over Again
bit.ly/42Sl41K
Es que no es por 10 putas horas, ni una deberías de haber esperado para decirme nada. ¿Cómo ves una diuresis de 0 y piensas “pues nada, la siguiente será”?
October 23, 2025 at 6:32 AM
Es que no es por 10 putas horas, ni una deberías de haber esperado para decirme nada. ¿Cómo ves una diuresis de 0 y piensas “pues nada, la siguiente será”?
Pero en qué cabeza cabe que te pases 10horas registrando una diuresis de 0 Y NO AVISES A TU PUTO ENFERMERO?!
October 23, 2025 at 6:32 AM
Pero en qué cabeza cabe que te pases 10horas registrando una diuresis de 0 Y NO AVISES A TU PUTO ENFERMERO?!
Yo ya no me voy a preocupar de más nada en relación con la salud de mi usuario porque nadie me hace caso en ningún sitio. Tiene visiblemente hematuria (se le ve en la bolsa de la diuresis). Se lo he dicho a la enfermera. Y no le parece raro (sedimento dice que es...). Se lo digo a la familia y menos
October 20, 2025 at 5:27 PM
Yo ya no me voy a preocupar de más nada en relación con la salud de mi usuario porque nadie me hace caso en ningún sitio. Tiene visiblemente hematuria (se le ve en la bolsa de la diuresis). Se lo he dicho a la enfermera. Y no le parece raro (sedimento dice que es...). Se lo digo a la familia y menos
Here are some practical tips for the hospitalist taking care of patients with HCM:
- Take care to avoid tachycardia, hypovolemia, and sudden drops in afterload.
- Practically, this means maintaining hydration, being more ginger with diuresis, avoid vasodilators, control pain/anxiety and fevers
- Take care to avoid tachycardia, hypovolemia, and sudden drops in afterload.
- Practically, this means maintaining hydration, being more ginger with diuresis, avoid vasodilators, control pain/anxiety and fevers
October 15, 2025 at 9:01 PM
Here are some practical tips for the hospitalist taking care of patients with HCM:
- Take care to avoid tachycardia, hypovolemia, and sudden drops in afterload.
- Practically, this means maintaining hydration, being more ginger with diuresis, avoid vasodilators, control pain/anxiety and fevers
- Take care to avoid tachycardia, hypovolemia, and sudden drops in afterload.
- Practically, this means maintaining hydration, being more ginger with diuresis, avoid vasodilators, control pain/anxiety and fevers
can't drink coffee anymore so i take caffeine pills
call them my, diuresis pieces
call them my, diuresis pieces
October 14, 2025 at 6:47 PM
can't drink coffee anymore so i take caffeine pills
call them my, diuresis pieces
call them my, diuresis pieces
Hot take:
You WANT the #creatinine to go up while diuresing in #cardiorenal syndrome AKI.
It’ll come back down when they’re better.
It’s a feature, not a bug.
#Medsky #Nephsky #cardiosky #cardiology #criticalcare @pulmcrit.bsky.social @imcrit.bsky.social #AKI #heartfailure #diuresis
You WANT the #creatinine to go up while diuresing in #cardiorenal syndrome AKI.
It’ll come back down when they’re better.
It’s a feature, not a bug.
#Medsky #Nephsky #cardiosky #cardiology #criticalcare @pulmcrit.bsky.social @imcrit.bsky.social #AKI #heartfailure #diuresis
October 12, 2025 at 4:54 PM
Hot take:
You WANT the #creatinine to go up while diuresing in #cardiorenal syndrome AKI.
It’ll come back down when they’re better.
It’s a feature, not a bug.
#Medsky #Nephsky #cardiosky #cardiology #criticalcare @pulmcrit.bsky.social @imcrit.bsky.social #AKI #heartfailure #diuresis
You WANT the #creatinine to go up while diuresing in #cardiorenal syndrome AKI.
It’ll come back down when they’re better.
It’s a feature, not a bug.
#Medsky #Nephsky #cardiosky #cardiology #criticalcare @pulmcrit.bsky.social @imcrit.bsky.social #AKI #heartfailure #diuresis
Well bummer. Daily assessments is a bit much. I think we overthink this. The best use of Pocus is to distinguish cardiogenic from noncardiogenic edema. I really just use it to try and predict whether diuresis is going to help them breath better. Don’t need it daily, just to pick a stategy
October 10, 2025 at 2:22 AM
Well bummer. Daily assessments is a bit much. I think we overthink this. The best use of Pocus is to distinguish cardiogenic from noncardiogenic edema. I really just use it to try and predict whether diuresis is going to help them breath better. Don’t need it daily, just to pick a stategy
Prof Steve Mathei somehow finding something new to say about diuresis
September 18, 2025 at 12:56 PM
Prof Steve Mathei somehow finding something new to say about diuresis
Myth: Whole celery = ultimate gout fighter. Reality: Juicing concentrates the magic—potassium, electrolytes, and phytonutrients—for a diuretic punch that flushes uric acid like a pro. Madrid study proves it: Juice > whole for diuresis. No fiber bulk, just pure detox power! 🌿 2/6
September 17, 2025 at 10:01 AM
Myth: Whole celery = ultimate gout fighter. Reality: Juicing concentrates the magic—potassium, electrolytes, and phytonutrients—for a diuretic punch that flushes uric acid like a pro. Madrid study proves it: Juice > whole for diuresis. No fiber bulk, just pure detox power! 🌿 2/6
Vena cava is good when people start to ask whether decreasing diuresis an rising kreatinin is because they are dry. More furosemide is most often the solution
September 17, 2025 at 4:21 AM
Vena cava is good when people start to ask whether decreasing diuresis an rising kreatinin is because they are dry. More furosemide is most often the solution
Several studies using LUS to guide diuresis have been positive, and it’s just as simple to look at, and has also been shown to be a good surrogate for LAP (though VeXUS plus LUS plus LV function and VTI is my own practice to guide decision making). This was poorly thought out imo.
September 17, 2025 at 3:36 AM
Several studies using LUS to guide diuresis have been positive, and it’s just as simple to look at, and has also been shown to be a good surrogate for LAP (though VeXUS plus LUS plus LV function and VTI is my own practice to guide decision making). This was poorly thought out imo.
Quick Hits: Madrid study—juicing concentrates phytonutrients for better diuresis than whole celery. Swiss research: Pre-10AM alkalizing drinks balance acid-base, curb post-meal spikes. Fun Take: Blender > pills for gout gadgets! Science settling debates. Agree? 4/6
September 16, 2025 at 9:03 PM
Quick Hits: Madrid study—juicing concentrates phytonutrients for better diuresis than whole celery. Swiss research: Pre-10AM alkalizing drinks balance acid-base, curb post-meal spikes. Fun Take: Blender > pills for gout gadgets! Science settling debates. Agree? 4/6
@brandoninstl.bsky.social he’s covering the hand here… thinking diuresis hitting them loops of Henle like a hammer… the kidneys only have so much patience.
Q: Do you think it would've been fitting to lower the flags to half staff when Melissa Hortman, the Minnesota House Speaker, was gunned down by an assassin?
TRUMP: I'm not familiar. The who?
TRUMP: I'm not familiar. The who?
September 16, 2025 at 4:28 AM
@brandoninstl.bsky.social he’s covering the hand here… thinking diuresis hitting them loops of Henle like a hammer… the kidneys only have so much patience.
Yes youre correct! Even in healthy people lying flat can induce a (mild, insignificant, non problematic) diuresis. To my mind this paper takes it a step further by suggesting the upright position helps block water losses - at least in MSA patients with autonomic failure
September 11, 2025 at 6:22 PM
Yes youre correct! Even in healthy people lying flat can induce a (mild, insignificant, non problematic) diuresis. To my mind this paper takes it a step further by suggesting the upright position helps block water losses - at least in MSA patients with autonomic failure
Some key findings:
Dysautonomia patients had no diuresis in response to the water load when standing, but normal diuresis when lying down
During water deprivation, at night (lying down) dysautonomia patients ↑ sodium & potassium excretion & ↑ urine volume
Dysautonomia patients had no diuresis in response to the water load when standing, but normal diuresis when lying down
During water deprivation, at night (lying down) dysautonomia patients ↑ sodium & potassium excretion & ↑ urine volume
September 10, 2025 at 10:20 PM
Some key findings:
Dysautonomia patients had no diuresis in response to the water load when standing, but normal diuresis when lying down
During water deprivation, at night (lying down) dysautonomia patients ↑ sodium & potassium excretion & ↑ urine volume
Dysautonomia patients had no diuresis in response to the water load when standing, but normal diuresis when lying down
During water deprivation, at night (lying down) dysautonomia patients ↑ sodium & potassium excretion & ↑ urine volume
🩺 Differentiation Syndrome
- complication that can occur during treatment of APL w/ ATRA+ATO
Clinical:
⬆️ WBCs
⬆️ Fever
⬆️ edema/body weight/pulmonary infiltrates
Mgmt:
- high-dose steroids
- cytoreduction
- antipyretics / cxs / abx for FN
- diuresis
#hemesky #hemeonc #medsky #APL #APML #leukemia
- complication that can occur during treatment of APL w/ ATRA+ATO
Clinical:
⬆️ WBCs
⬆️ Fever
⬆️ edema/body weight/pulmonary infiltrates
Mgmt:
- high-dose steroids
- cytoreduction
- antipyretics / cxs / abx for FN
- diuresis
#hemesky #hemeonc #medsky #APL #APML #leukemia
September 6, 2025 at 4:54 AM
Medically, that procedure is an extremely big deal, he would have to briefly at least turn over the presidency to the VP. More likely he had some type of imaging or IV diuresis and or I wouldn’t even be surprised if somebody said he had dialysis, but I’ve not seen his record so I don’t know.
September 2, 2025 at 7:34 PM
Medically, that procedure is an extremely big deal, he would have to briefly at least turn over the presidency to the VP. More likely he had some type of imaging or IV diuresis and or I wouldn’t even be surprised if somebody said he had dialysis, but I’ve not seen his record so I don’t know.
Heart failure exacerbation on top of vascular dementia is a bitch.
Totally makes sense that he went awol for 5 days to get aggressive diuresis to pull off all that cankle fluid.
Need some pics of his calves and hands to verify, but that’s my bet.
Totally makes sense that he went awol for 5 days to get aggressive diuresis to pull off all that cankle fluid.
Need some pics of his calves and hands to verify, but that’s my bet.
August 31, 2025 at 3:36 PM
Heart failure exacerbation on top of vascular dementia is a bitch.
Totally makes sense that he went awol for 5 days to get aggressive diuresis to pull off all that cankle fluid.
Need some pics of his calves and hands to verify, but that’s my bet.
Totally makes sense that he went awol for 5 days to get aggressive diuresis to pull off all that cankle fluid.
Need some pics of his calves and hands to verify, but that’s my bet.