Podcasts about Diuretic

A review of UltraFiltration as a therapeutic modality to overcome chronically decompensated heart failure in patients who struggle poorly responsive to diuretics. A brief review of pivotal trials as well as discussion of real-world experience with the therapy in a successful advanced heart failure clinic.

In this episode of the Smarter Not Harder Podcast, Boomer Anderson, Dr. Scott Sherr, and Dr. Ted Achacoso dive deep into the topic of hydration, debunking common myths and offering practical tips. They clarify the effects of caffeine and alcohol as diuretics and discuss the misconception about clear urine indicating proper hydration. They explore the evolutionary aspects of water's role in biology and provide specific recommendations for daily water intake, emphasizing the importance of a little salt and possibly sugar for optimal hydration. The conversation also covers various methods for ensuring clean and effective hydration, including filtration systems and the importance of not drinking calories. Join us as we delve into:- The physiology of hydration – Where water actually goes in your body - Diuretic myths debunked – Coffee, alcohol and coconut water exposed - Electrolyte optimization – How to make your own medical-grade hydration solution - Travel hydration protocols – Why you're dehydrating faster than you think This episode is for you if:- You want to optimize cellular hydration for peak performance - You're tired of contradictory advice about water intake - You've wondered if structured water systems are worth the investment - You need science-backed hydration hacks for travel or workouts You can also find this episode on…YouTube: https://youtu.be/s_s3lRNwaqA Find more from Smarter Not Harder: Website: https://troscriptions.com/blogs/podcast | https://homehope.org Instagram: @troscriptions | @homehopeorg Get 10% Off your purchase of the Metabolomics Module by using PODCAST10 at https://www.homehope.org Get 10% Off your Troscriptions purchase by using POD10 at https://www.troscriptions.com Get daily content from the hosts of Smarter Not Harder by following @troscriptions on Instagram.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on optimal initial intravenous loop diuretic dosing in acute decompensated heart failure.

Message our hosts, Kieran and Jose.Vets understand that the cornerstone of treatment for congestive heart failure in animals is the use of loop diuretics, such as furosemide. But resistance occurs in all patients over time, and intensification of diuretic treatment is a vital part of managing patients with clinical signs - both for left- and right-sided manifestations of disease. How are we best to approach this, and what can we do when using diuretic drugs to make the best decisions that will have positive benefits for our patients? Join Jose and Kieran as they welcome Prof Mark Oyama, from the University of Pennsylvania, to discuss strategic use of diuretic drugs in the clinic and the most up to date research on how to judge diuretic efficacy in acute and chronic heart failure patients.

Big Pharma gets a lot of bad press, yet most of us have needed to take medication for something at some point in our lives. How do we minimise the risk of our coming to harm from drugs and what can industry do to work more openly with us?Diuretic drugs: https://link.springer.com/chapter/10.1007/978-3-642-79565-7_4Ben Goldacre - a review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635613/Evidence Based Medicine: https://guides.mclibrary.duke.edu/ebmLorcainide story: https://www.bmj.com/content/350/bmj.g7717/rr-1Anti-arrhythmic drugs: https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/drug-cabinet/anti-arrhythmicsDrug reps and doctors: https://www.npr.org/2024/04/19/1245972805/pharma-reps-have-visited-doctors-for-decades-what-impact-does-it-have-on-patientThe opioid crisis and Oxycontin latest: https://www.bbc.co.uk/news/world-us-canada-60610707PHQ-9 for depression: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3416649/#Monoclonal antibodies: http://news.bbc.co.uk/1/hi/health/114311.stmALLTRIALS: alltrials.netThe NHS and big pharma: https://www.theguardian.com/business/2023/jul/08/its-naive-to-think-this-is-in-the-best-interests-of-the-nhs-how-big-pharmas-millions-are-influencing-healthcare Hosted on Acast. See acast.com/privacy for more information.

Diuretic therapy in HFrEF, AF ablation, TACT 2 and the story of subgroups, and SGLT2 inhibitor underuse are the topics John Mandrola, MD, discusses in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I. Diuretic Therapy in HF Dapa vs Metolazone Trial https://doi.org/10.1093/eurheartj/ehad341 ADVOR https://www.nejm.org/doi/10.1056/NEJMoa2203094 II. Rapid Medication Titration for Acute HF ACC Decision Pathway https://www.jacc.org/doi/10.1016/j.jacc.2024.06.002 III. SGLT2 Inhibitor Use in the US Shin and Colleagues; JACC  https://www.sciencedirect.com/science/article/abs/pii/S0735109724076332 Editorial  https://doi.org/10.1016/j.jacc.2024.07.001 IV. AF Ablation: General Anesthesia vs Conscious Sedation Da Riis-Vestergaard and Colleagues  https://doi.org/10.1093/europace/euae203 V. TACT 2 Published TACT 1 https://jamanetwork.com/journals/jama/fullarticle/1672238 TACT 1 DM https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.113.000663 TACT 2 https://jamanetwork.com/journals/jama/fullarticle/2822472 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

We discuss the approach to diagnosing and managing hypernatremia in the emergency department. Hosts: Abigail Olinde, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Hypernatremia.mp3 Download Leave a Comment Tags: Electorlye Show Notes Episode Overview: Introduction to Hypernatremia Definition and basic concepts Clinical presentation and risk factors Diagnosis and management strategies Special considerations and potential complications Definition and Pathophysiology: Hypernatremia is defined as a serum sodium level over 145 mEq/L. It can be acute or chronic, with chronic cases being more common. Symptoms range from nausea and vomiting to altered mental status and coma. Causes of Hypernatremia based on urine studies: Urine Osmolality > 700 mosmol/kg Causes: Extrarenal Water Losses: Dehydration due to sweating, fever, or respiratory losses Unreplaced GI Losses: Vomiting, diarrhea Unreplaced Insensible Losses: Burns, extensive skin diseases Renal Water Losses with Intact AVP Response: Diuretic phase of acute kidney injury Recovery phase of acute tubular necrosis Postobstructive diuresis Urine Osmolality 300-600 mosmol/kg Causes: Osmotic Diuresis: High glucose (diabetes mellitus), mannitol, high urea Partial AVP Deficiency: Incomplete central diabetes insipidus Partial AVP Resistance: Nephrogenic diabetes insipidus Urine Osmolality < 300 mosmol/kg Causes: Complete AVP Deficiency: Central diabetes insipidus

This week we're back from the woods and digging into a weedy favorite that might just make you pee your pants- Dandelion. Sources: https://en.wikipedia.org/wiki/Taraxacum https://thepracticalherbalist.com/advanced-herbalism/dandelion-history-folklore-myth-and-magic/ https://www.icysedgwick.com/dandelions-folklore/ https://www.learnreligions.com/dandelion-magic-and-folklore-4588986 https://changinglifestyleblog.uk/2011/04/12/dandelion-myths-legends-and-folklore/ https://www.mountsinai.org/health-library/herb/dandelion#:~:text=Plant%20Description&text=Dandelion%20is%20a%20hardy%20perennial,funnel%20rain%20to%20the%20root. https://www.sciencedirect.com/topics/medicine-and-dentistry/diuretic-activity#:~:text=Dandelion%20(Taraxacum%20officinale).&text=Diuretic%20activity%2C%20which%20has%20been,as%20salad%20greens%20for%20millennia. https://pubmed.ncbi.nlm.nih.gov/6360869/#:~:text=Some%20observations%20suggest%20that%20potassium,result%20in%20decreased%20blood%20pressure. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3155102/#:~:text=Given%20that%20the%20saluretic%20effects,different%20diuretic%20and%20saluretic%20pathways. https://www.mskcc.org/cancer-care/integrative-medicine/herbs/dandelion https://lizearlewellbeing.com/healthy-food/healthy-recipes/drinks/dandelion-and-burdock-cordial-recipe/ https://www.hiddenlegendwinery.com/what-is-dandelion-wine/#:~:text=The%20taste%20of%20dandelion%20wine,an%20exceptionally%20irresistible%20mildewed%20scent. Looking for more Rooted Content? ⁠⁠Check out our corner of the internet⁠⁠! You'll find our transcripts, show notes, and so much more. *Disclaimer- This content is for entertainment purposes only. I am just a lady who likes plants, which in no way qualifies me to give you advice on well...anything, really. As always, please consult with your medical care team before making any changes to your diet or medications. * --- Support this podcast: https://podcasters.spotify.com/pod/show/rooted-podcast/support

Commentary by Associate Editor Anita Deswal

Series of studies of the powerful Diuretic to see if it stops autistic children from stimming. Let's not forget the dangerous side effects. Anything to make us appear not autistic fierceautie.com/2023/11/07/quackery-bumetanide-oral-solution-for-stimming --- Support this podcast: https://podcasters.spotify.com/pod/show/fierceautie/support

We often are looking for an acidosis when patients present with lethargy but what about when it's an alkalosis!? In last week's episode with Annie Fulton RN of the “Up My Nursing Game” podcast, she and host Sarah Lorenzini presented a patient story but left the diagnosis a mystery. You heard why Annie's patient was admitted and her initial assessment, what caused her to think something more was going on, and why she ruled out sepsis as a diagnosis. Now, find out what her diagnosis was and how she was treated! Hint: today, we're talking all about diuretic induced metabolic alkalosis.To start off this episode, Annie recaps her patient's story, walks us through the patient's VBG results, and how they arrived at a diagnosis of metabolic alkalosis. Sarah then breaks down the pathophysiology of diuretic induced metabolic alkalosis, including what causes it at the cellular level and how to treat the condition. They specifically talk about contraction alkalosis, and how it's possible for a patient to be both intravascularly dry but extravascularly still fluid volume overloaded.Sarah and Annie also discuss the patient's mild leukocytosis, the clinician's decision to NOT prescribe antibiotics after a positive urinalysis, and their thoughts on antibiotic stewardship and critical thinking in diagnostics.Listen to part two of this mystery series to find out how to treat metabolic alkalosis from diuretics, and find out if there's anything you can do to look out for its symptoms! Topics discussed in this episode:How Annie's patient presented and her initial treatmentThe results of the patient's VBGWhat can cause metabolic alkalosis and its symptomsIntravascular vs extravascular fluid volume statusContraction alkalosis and how to treat itHow Annie's patient was treatedThe right time to stop and start diuresis on a patientWhy the patient's clinician declined to give antibioticsThe debate on sepsis mimicsListen to Annie Fulton's Up My Nursing Game Podcast: http://www.upmynursinggame.com/Connect with Annie Fulton on Instagram: https://www.instagram.com/upmynursinggame/Mentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course! Rapid Response and Rescue Intro CourseIf you would like to check out Sarah's 1hr, 1 CE course, go to: http://www.rapidresponseandrescue.com To get the FREE Rapid Response RN Assessment Guide and the coupon code for $10 off the cost of the course, message Sarah on Instagram @TheRapidResponseRN and type the word PODCAST!

[4:48] Sean's work with badminton athletes[9:51] Supplements for brain demand[17:20] Playing around with salt[22:53] Drug and supplement interactions[26:52] coq10[38:27] Vit D and magnesium[47:06] Other supplements[51:30] Diuretic abuse[58:48] Gut microbiomeConnect with Sean:FacebookInstagramWebsite

Jared interviews Max Willis and Nikita Austen about two very recent discoveries in the herbal world - Sceletium and Saffron. There are no new herbs, but we are discovering new uses for them all the time. You'll learn the power of Sceletium and Saffron for many common ailments including women's hormones, sleep, stress, and mood. You'll also learn about some tried and true remedies using Dandelion, Gotu Kola, and Horse Chestnut for detoxification and your circulatory health.Products:Natural Factors Affron® Saffron ExtractNatural Balance Saffron ExtractSolaray SharpMind Nootropics MoodSolaray Organic Dandelion RootSolaray Gotu KolaSolaray Horse Chestnut Seed ExtractNatural Factors Horse Chestnut with Grape Seed ExtractAdditional Information:Episode #321: Four Amazing Herbs You May Not Know About: Fenugreek, Tongkat Ali, Activated Broccoli, and Black Seed Oil with Nikita AustenEpisode #320: A Sharp, Focused Mind using Bacopa and Lion's Mane with Nikita AustenEpisode #202: From Ancient to Modern Application - Black Seed OilVisit the podcast website here: VitalityRadio.comYou can follow @vitalityradio and @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Please also join us on the Dearly Discarded Podcast with Jared St. Clair.Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.

In this episode I am going over all things related to BOOZE! I discuss everything from the physiological effects it has on our bodies to tracking into your macros. - 2:33 Calories from alcohol during a fat loss phase vs a maintenance phase 4:09 Physiological effects on training, recovery, and progress 9:36 Effects on digestion and fat loss 11:39 Diuretic effect and using alcohol to “dry out” for a competition 13:43 Effects on the liver, heart, brain, and immune system 17:01 Social and cultural aspects of drinking 17:54 Tracking alcohol into your macros 21:17 Navigating societal pressures to drink - Apply for competition coaching: https://form.jotform.com/223648596615064 Apply for lifestyle coaching: https://form.jotform.com/223647843195061

There is increased recognition of the right ventricle's pivotal role in health and disease. In this episode, we will discuss Right Ventricular Failure in the context of critical illness. Our guest is Dr. Ryan Tedford, a practicing cardiologist focusing on heart failure. Dr. Tedford is the Dr. Peter C. Gaze Endowed Chair in Heart Failure. He is a Professor of Medicine and Cardiology, Section Chief for Heart Failure, Medical Director of Cardiac Transplantation, and Director of the Advanced Heart Failure & Transplant Fellowship Training Program at the Medical University of South Carolina. Additional Resources Right Ventricular Failure. Houston B, Britain EL, and Tedford R. N Engl J of Med 2023: https://pubmed.ncbi.nlm.nih.gov/36947468/ Diuretic versus placebo in intermediate-risk acute pulmonary embolism: a randomized clinical trial. Lim P, et al. Eur Heart J Acute Cardiovasc Care 2022: https://pubmed.ncbi.nlm.nih.gov/34632490/ Multimodality Imaging of Right Heart Function. Hahn R, et al. JACC 2023: https://pubmed.ncbi.nlm.nih.gov/37164529/ Ventricular dilation is associated with improved cardiovascular performance and survival in sepsis. Zanotti, s et al. CHEST 2010: https://pubmed.ncbi.nlm.nih.gov/20651022/ Link to recent podcast on Acute Pulmonary Embolism: https://soundphysicians.com/podcast-episode/?podcast_id=342&track_id=1463000353 Books Mentioned in this Episode: The Right Ventricle in Health and Disease. N Voelkel and D Schranz, Editors: https://bit.ly/436iROd The Code Breaker: Jennifer Doudna, Gene Editing, and the Future of the Human Race. By W Isaacson: https://bit.ly/3IDUL5a

This episode covers syndrome of inappropriate anti-diuretic hormone (SIADH).Written notes can be found at https://zerotofinals.com/medicine/endocrinology/siadh/ or in the endocrinology section of the 2nd edition of the Zero to Finals medicine book.The audio in the episode was expertly edited by Harry Watchman.

The Filtrate:Joel TopfSwapnil HiremathJosh WaitzmanJordy CohenWith Special Guest:Areef ishani lead author and Chief of Medicine VA MinneapolisEditor:Nayan AroraShow Notes:MRFIT switches diuretics and finds better outcomes. Swapnil shows how many studies he is familiar with by spewing out a string of them.Chlorthalidone wins: ALLHAT, MRFIT, SPRINT, HYVET, CLICK (not mentioned by Swap but by Jordy later)HCTZ loses: HOPE3, ACCOMPLISHDiuretic half-lifes NEJM reviewEdarbyclor: Azilsartan and Chlorthalidone $240/month as per GoodRxNice mention of late study originator Frank Lederle. Please see his article in Annals about his diagnosis of pancreatic cancer. Moving. Network analysis of HCTZ vs chlorthalidoneAntihypertensive efficacy of hydrochlorothiazide vs chlorthalidone combined with azilsartan medoxomil by George BakrisSynopsis of the 2020 U.S. Department of Veterans Affairs/U.S. Department of Defense Clinical Practice Guideline: The Diagnosis and Management of Hypertension in the Primary Care Setting (Annals of Internal Medicine)Testing for Primary Aldosteronism and Mineralocorticoid Receptor Antagonist Use Among U.S. Veterans: A Retrospective Cohort Study by Jordy CohenStudy showing better risk reward ratio of low dose than high dose thiazide diuretics. Treatment of hypertension in the elderly: I. Blood pressure and clinical changes. Results of a Department of Veterans Affairs Cooperative Study.Tubular SecretionsSwapnil Louise Penny author of book upon which the Amazon Prime series, Three Pines is based on.Jordy Last of Us series on HBOJosh Channel Your Enthusiasm A Very Special Episode: Meet the GlaucomfleckensAreef The Body: A Guide for OccupantsJoel NephMadness (this did not age well)

Are you broke and can't afford your own AI?   There is a substitute - try Memory Foam, it's like A.I. but a lot cheaper.  Memory foam is like a natural diuretic for the shovel ready.  Helps unstick your mind and get back in play.  If you can't remember the girl's name and she's not answering to Giddyap or Lil' Whiskers, you may need some of this memory help.  Hear Podcast ~ Wash Hands

The Channelers went where no nephrology podcasters have gone before, recording in front of a live audience at the National Kidney Foundation Clinical Meeting in Austin. We had all eight Channelers doing a live podcast.We did a Freely Filtered-inspired draft of the best diuretics.The draft order:Leticia Rolon Anna Gaddy Joel TopfRoger Rodby Josh Waitzman Amy Yau JC Velez And Melanie HoenigReferencesJC Tolvaptan in Later-Stage Autosomal Dominant Polycystic Kidney DiseaseIntravenous conivaptan for the treatment of hyponatraemia caused by the syndrome of inappropriate secretion of antidiuretic hormone in hospitalized patients: a single-centre experienceRapidity of Correction of Hyponatremia Due to Syndrome of Inappropriate Secretion of Antidiuretic Hormone Following TolvaptanTolvaptan, a Selective Oral Vasopressin V2-Receptor Antagonist, for HyponatremiaJosh Review on amiloride development https://pubmed.ncbi.nlm.nih.gov/7039345/Toad bladder: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1351665/Amiloride derivatives that inhibit flagella: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8544414/Amiloride as taste sensor: https://www.science.org/doi/10.1126/science.6691151Batlle on diabetes Insipidus: https://www.nejm.org/doi/full/10.1056/NEJM198502143120705?query=recirc_curatedRelated_articleAmiloride + ddavp for DI https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518801/Amy Treatment of refractory congestive heart failure and normokalemic hypochloremic alkalosis with acetazolamide and spironolactone.Acetazolamide reversibly inhibits water conduction by aquaporin-4Inhibition of Human Aquaporin-1 Water Channel Activity by Carbonic Anhydrase InhibitorsAcetazolamide Attenuates Lithium-Induced Nephrogenic Diabetes InsipidusAcetazolamide in Lithium-Induced Nephrogenic Diabetes InsipidusIn Vivo Antibacterial Activity of AcetazolamideRoger50th anniversary of aldosteroneJoelSotagliflozin in Patients with Diabetes and Recent Worsening Heart FailureThe SGLT2 inhibitor empagliflozin in patients hospitalized for acute heart failure: a multinational randomized trialEffects of Early Empagliflozin Initiation on Diuresis and Kidney Function in Patients With Acute Decompensated Heart Failure (EMPAG-HF)Empagliflozin and Heart failure: Diuretic and Cardiorenal EffectsAnnaClinical Results of Treatment of Diabetes Insipidus with Drugs of the Chlorothiazide SeriesTreatment of nephrogenic diabetes insipidus with hydrochlorothiazide and amilorideInfluence of renal nerves and sodium balance on the acute antidiuretic effect of bendroflumethiazide in rats with diabetes insipidusAntidiuretic effect of hydrochlorothiazide in lithium-induced nephrogenic diabetes insipidus is associated with upregulation of aquaporin-2, Na-Cl co-transporter, and epithelial sodium channelMajor Outcomes in High-Risk Hypertensive Patients Randomized to Angiotensin-Converting Enzyme Inhibitor or Calcium Channel Blocker vs DiureticWalsh AC, Moyes A. Intractable Congestive Heart Failure Successfully Treated With Southey Tubes. Can Med Assoc J. 1964 Jun 13;90(24):1375-6.Godwin TF, Gunton RW. Clinical trial of a new diuretic, furosemide: comparison with hydrochlorothiazide and mercaptomerin. Can Med Assoc J. 1965 Dec 18;93(25):1296-300.Gerber JG. Role of prostaglandins in the hemodynamic and tubular effects of furosemide. Fed Proc. 1983 Apr;42(6):1707-10.Schlatter E, Salomonsson M, Persson AE, Greger R. Macula densa cells sense luminal NaCl concentration via furosemide sensitive Na+2Cl-K+ cotransport. Pflugers Arch. 1989 Jul;414(3):286-90. doi: 10.1007/BF00584628.

Does a common diuretic help to prevent kidney-stone recurrence? Find out about this and more in today's PVRoundup podcast.

Furosemide is the most prescribed loop diuretic for heart failure; however, furosemide's pharmacokinetic parameters are less than ideal compared to other loop diuretics. Join host, Geoff Wall, as he evaluates the first randomized controlled trial comparing loop diuretics in heart failure.The GameChangerTorsemide has potential pharmacokinetic advantages compared to furosemide in the treatment of heart failure. However, a recent study did not find meaningful differences in clinical outcomes when comparing loop diuretics for the treatment of heart failure.Show Segments00:00 - Introduction01:00 - Current Loop Diuretic Use02:21 - Furosemide vs Torsemide Pharmacokinetics04:58 - Looking at the TRANSFORM-HF Study14:54 - The GameChanger: TRANSFORM-HF Outcomes19:16 - Connecting to Practice: Picking Between the Two21:52 - Closing RemarksHostGeoff Wall, PharmD, BCPS, FCCP, CGPProfessor of Pharmacy Practice, Drake UniversityInternal Medicine/Critical Care, UnityPoint HealthReferences and ResourcesEffect of Torsemide vs Furosemide After Discharge on All-Cause Mortality in Patients Hospitalized With Heart Failure: The TRANSFORM-HF Randomized Clinical Trial. Redeem your CPE hereCPE (Pharmacist)Get a membership & earn CE for GameChangers Podcast episodes (30 mins/episode)Pharmacists: Get a membershipCE InformationLearning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. List the pharmacokinetic differences between furosemide and torsemide2. Discuss the findings of the Mentz et al study evaluating loop diuretics0.05 CEU/0.5 HrUAN: 0107-0000-23-101-H01-PInitial release date: 02/27/2023Expiration date: 02/27/2024Additional CPE and CME details can be found here.Follow CEimpact on Social Media:LinkedInInstagramDownload the CEimpact App for Free Continuing Education + so much more!

The Cardiorenal Syndrome is commonly encountered, and frequently misunderstood. Join the CardioNerds team as we discuss the complex interplay between the heart and kidneys with Dr. Elliott Miller (Assistant Professor of Medicine at Yale University School of Medicine and Associate Medical Director of the Cardiac Intensive Care Unit of Yale New Haven Hospital), and Dr. Nayan Arora (Clinical Assistant Professor of Medicine and Nephrologist at the University of Washington Medical Center). We are hosted by FIT lead Dr. Matthew Delfiner (Cardiology Fellow at Temple University), Cardiac Critical Care Series Co-Chairs Dr. Mark Belkin (AHFTC faculty at University of Chicago) and Dr. Karan Desai (Cardiologist at Johns Hopkins Hospital), and CardioNerds Co-Found Dr. Dan Ambinder. In this episode we discuss the definition and pathophysiology of the cardiorenal syndrome, explore strategies for initial diuresis and diuretic resistance, and management of the common heart failure medications in this setting. Show notes were developed by Dr. Matthew Delfiner. Audio editing by CardioNerds Academy Intern, student doctor Akiva Rosenzveig. The CardioNerds Cardiac Critical Care Series is a multi-institutional collaboration made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Mark Belkin, Dr. Eunice Dugan, Dr. Karan Desai, and Dr. Yoav Karpenshif. Pearls • Notes • References • Production Team CardioNerds Cardiac Critical Care PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Management of Cardiorenal Syndrome in the CICU Cardiorenal syndrome (CRS) represents a range of clinical entities in which there is both heart and kidney dysfunction, and can be driven by one, or both, of the organs. CRS is caused by reduced renal perfusion, elevated renal congestion, or a combination of the two. Treatment therefore focuses on increasing perfusion, by optimizing cardiac output and mean arterial pressure, and reducing congestion through diuresis. Patients should be monitored for an adequate response to the initial diuretic dose within 2 hours of administration. If the response is inadequate, the loop diuretic dose should be doubled. Diuretic resistance can be managed via sequential nephron blockade, most commonly with thiazide diuretics, but also with amiloride, high-dose spironolactone, or acetazolamide, as these target different regions of the nephron. In cases of refractory diuretic resistance, hypertonic saline can be considered with the help of an experienced clinician. Continuation or cessation of renin-angiotensin-aldosterone system (RAAS) inhibitors in the setting of CRS should be made on a case-by-case basis. Show notes - Management of Cardiorenal Syndrome in the CICU 1. Cardiorenal syndrome (CRS) is a collection of signs/symptoms that indicate injury to both the heart and kidneys. Organ dysfunction in one can drive dysfunction in the other. Cardiorenal syndrome can be categorized as: Type 1 - Acute heart failure causing acute kidney injury Type 2 - Chronic heart failure causing chronic kidney injury Type 3 - Acute kidney injury causing acute heart failure Type 4 - Chronic kidney injury causing chronic heart failure Type 5 - Co-development of heart and kidney injury by another systemic process. These categories can be helpful for education, discussion, and research purposes, but they do not usually enter clinical practice on a regular basis since different categories of cardiorenal syndrome are not necessarily treated differently. 2. CRS is caused by either reduced renal perfusion, elevated renal congestion, or a combination of the two. When dealing with CRS, note that: CRS can be caused by poor kidney perfusion,

FRIDAY HR 1 When we feel that we are friends with celebs that we don't even know. Russ shares a cautionary tail about blood and private parts. Concerts

In this episode of Lexman, Carl Hart talks about diuretics. He breaks down the different types of diuretics and how they work. He also shares some tips on how to use them safely and effectively. Finally, he talks about pardonerism and how it relates to the distaff and literalizers.

On this episode, we review the results that have been reported from the Diuretic Comparison Project (DCP). The point-of-care clinical trial was looking at CV outcomes based on patients using HCTZ vs chlorthalidone. We also discuss the reasons for using indapamide over other thiazide (like) diuretics.  Thanks for listening! We want to give a big thanks to our main sponsor Pyrls. Try out their drug information app today. Visit the website below for a free trial: www.pyrls.com/corconsultrx If you want to support the podcast, check out our Patreon account. Subscribers will have access to all previous and new pharmacotherapy lectures as well as downloadable PowerPoint slides for each lecture. You can find our account at the website below:  www.patreon.com/corconsultrx If you have any questions for Cole or me, reach out to us on any of the following: Text - 415-943-6116 Mike - mcorvino@corconsultrx.com Cole - cswanson@corconsultrx.com Instagram and other social media platforms - @corconsultrx This podcast reviews current evidence-based medicine and pharmacy treatment options. This podcast is intended to be used for educational purposes only and is intended for healthcare professionals and students. This podcast is not for patients and not intended as advice or treatment.

ESC TV Today brings you concise analysis from the world's leading experts, so you can stay on top of what's happening in your field quickly. This episode tackles: Cardiology this Week ADVOR Trial and contemporary diuretic treatment The latest on TAVI durability Mythbusters – Is eating eggs really bad for you? Want to watch that episode? Go to: https://esc365.escardio.org/event/593

This episode is all about things you learned in school that you thought you'd never use but do, On Tap In The Sticks party coming Oct 15, and top 5 best songs for a hungover drive home.  Do us a favor and add @ontapofficial on snapchat to tell us who had the best 5 picks and they will decide what the other 2 have to do the next episode.  Pre buy your tickets for On Tap in the Sticks here!https://ontapwiththeboiz.com/collections/events/products/on-tap-in-the-sticks-2022Smells Like HumansLike spending time with funny friends talking about curious human behavior. Listen on: Apple Podcasts SpotifyBuy our merch Supply the beer and help the boiz create content by grabbing some merch from our storeCollege Peep Show Merch Check out CPS gear and use code: ONTAP for 10% off your orderMuff Waders Discount Get yourself some really high quality drinking spenders. Use code ONTAP for 10% off!

The boys go back to school with 1998's The Faculty. You know, that movie that got a bunch of grunge artists on their fall from grace to botch a Pink Floyd song for the soundtrack. There's so much to talk about, so let's get right to it. Body-snatchers rules! Flogging the Bishop! Lost tits in the locker room! Double pussy puke! Teacher's lounge water whipping! Diuretic space cocaine! Underbelly dermis tickles, and much, much more on this week's episode of The Worst Movie Ever Made!  Wow.

Dandelion herb has been used for centuries in traditional medicine. The roots, leaves and flowers of the dandelion plant have been used to treat a variety of ailments. Dandelion root is one of nature's most powerful cleansing agents and it also helps stimulate the body's own detoxifying processes. Dandelion root can help improve liver function by increasing bile flow to the liver, which stimulates digestion and promotes healthy cholesterol levels. It is believed that dandelion root may have anti-inflammatory properties as well due to its ability to support healthy liver function.

The First Principles of Heart Failure Management that can get you through the cardiology ward: Left vs Right heart, Ejection Fraction, and the 5 prognostic medications you need to know. *Jason is NOT an actual cardiologist, but an intelligent med student who loves some cardiology* === Other Links === Check out our Notion document for First Principles, Free Anki flashcards, and Podcast: https://bit.ly/3STExIF Check out our Instagram: https://www.instagram.com/firstprinciplesofmedicine/ Recorded 5 April 2022 Co-hosts: JT Yeung, Adian Izwan, Jason D'Silva, Daniel Bontempo. If you have any ideas or feedback, comment on this Notion document, or shoot us an email at firstprinciplesofmedicine@gmail.com === Timestamps === (00:09) Introduction (01:49) Right heart = Left heart? (04:41) First Principles - Ejection Fraction (07:05) Management differences - HFrEF vs HFpEF (09:38) FIVE prognostic medications (26:34) Medication Selection Algorithm (30:28) Caveats (31:43) Non-pharmacological management (33:31) Interventional management (37:10) 2 very special medications

Lose your heart to NephMadness 2022! Dr. Joel Topf (@kidney_boy) and Dr. Sadiya Khan (@HeartDocSadiya) tackle the NephMadness 2022 Cardiorenal Syndrome region, leading us through the pathophysiology of cardiorenal syndrome, how to approach the creatinine “bump” with diuresis, managing patients with diuretic resistance, and more. *Claim free CME for this episode at curbsiders.vcuhealth.org! *Available within 24 hours of release. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Producer, Writer, Show Notes, Infographics: Malini Gandhi Cover Art:  Beth Garbitelli Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD, FACP Executive Producer: Beth Garbitelli Showrunner: Matthew Watto MD, FACP Editor: Clair Morgan of nodderly.com Guest: Dr. Joel Topf MD, Dr. Sadiya Khan MD Sponsor: ACP's Internal Medicine Board Review The Greater Chicago course, beginning on May 23rd  through May 27th     or Washington, D.C., on July 11th through July 15th New registrants will receive 6 months of access to the course recordings. Visit acponline.org/imbr2022 to register or learn more. Sponsor: SquareSpace Go to Squarespace.com for a free trial, and when you're ready to launch, go to squarespace.com/Curb to save 10% off your first purchase of a website or domain. Sponsor: Green Chef Go to GreenChef.com/curb130 and use code curb130 to get $130 off, plus free shipping! Sponsor: Masterworks Masterworks is giving listeners priority access to their newest offerings. Just head to masterworks.art/curbsiders  CME Partner: VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.  Show Segments Intro, disclaimer, guest bios Guest one-liners, Introduction to Nephmadness 2022 Case #1 from Kashlak: acute decompensated heart failure with elevated creatinine Definition and pathophysiology of cardiorenal syndrome Use of home ACE-is/ARBs and SGLT-2 inhibitors in cardiorenal syndrome Case #2 from Kashlak: the creatinine bump with diuresis Approach to the creatinine bump with diuresis Tips for the volume exam Interpreting cardiac biomarkers in patients with chronic kidney disease Case #3 from Kashlak: diuretic resistance Maximizing loop diuretic efficacy Sequential nephron blockade Use of hypertonic saline Outro

Not enough fluids? Drink more. Too much fluid – entirely different, far more complex problem. From the systemic swelling caused by congestive heart failure to the localized ascites caused by cancer, or NASH, Sequana Medical has developed novel approaches to drain the fluid away when diuretics are no longer effective. The results are greatly improved clinical outcomes and quality of life for patients, and significant cost savings. Ian Crosbie, CEO of Sequana Medical, Oxford graduate, and long-time financial-world veteran, explains it all.

Drugs n Stuff Bodybuilding Podcast 113 with Dave Crosland, Scott McNally and Christmas Cabbage - TIME STAMPS BELOW

CardioNerds, Amit Goyal and Daniel Ambinder, join Duke University CardioNerds Ambassador and Correspondent, Dr. Kelly Arps for the diuretic showdown of a lifetime. Join us for this Cardiology vs. Nephrology discussion and respective approach to volume overload and diuretic strategies with Dr. Michael Felker (Professor of Medicine with tenure in the Division of Cardiology at Duke University School of Medicine), and Dr. Matt Sparks (Founding member of the Nephrology Social Medial Collective and #NephJC and Associate Professor of Medicine and Program Director for the Nephrology Fellowship Program at Duke University School of Medicine). Episode introduction, audio editing and Approach to Diuretic Resistance infographic by Dr. Gurleen Kaur (Director of the CardioNerds Internship). Volume overload is a common indication for hospitalization in patients with heart failure. Loop diuretics are first line therapy for volume overload in heart failure, with assessment for adequate response within 3-6 hours after administration. Elevation in creatinine is common with venous congestion as well as during decongestion. While other causes of renal injury should be considered, an elevated creatinine in this context should not automatically trigger avoidance or cessation of diuresis. Diuretic resistance is an exaggerated form of natural safety mechanisms in the face of diuresis. Strategies for addressing diuretic resistance include optimizing dose and frequency of loop diuretic administration, adding adjunctive medication for sequential nephron blockade (i.e., thiazide diuretic, potassium sparing diuretic, acetazolamide, tolvaptan, SGLT2 inhibitor), and, in refractory cases, hemodialysis with ultrafiltration. In the outpatient setting, transition to a more potent loop diuretic (i.e., torsemide or bumetanide from furosemide), addition of a mineralocorticoid antagonist, or intermittent dosing of thiazide diuretic may augment maintenance diuretic therapy for patients with diminished response to loop diuretics.  Check out the CardioNerds Failure Heart Success Series Page for more heart success episodes and content! Relevant disclosures: None Pearls • Notes • References • Guest Profiles • Production Team CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! The CardioNerds Heart Success Series is developed in collaboration with the Heart Failure Society of America. The Heart Failure Society of America is a multidisciplinary organization working to improve and expand heart failure care through collaboration, education, research, innovation, and advocacy. Its members include physicians, scientists, nurses, nurse practitioners, and pharmacists. Learn more at hfsa.org. Pearls - Cardiology vs Nephrology: A Diuretic Showdown Elevation in creatinine is expected in both congested states and during diuresis. Do not avoid or stop diuresis in a patient who is clearly volume overloaded based on an elevated creatinine. There may be a role for right heart catheterization if the fluid and/or hemodynamic status is unclear. Alkalosis in the setting of loop diuretic administration and diuretic resistance may represent a natural response to loop diuretics and not volume depletion. Ensure adequate potassium repletion and try using a mineralocorticoid antagonist to correct this alkalosis. Acetazolamide is rarely necessary but may be of use.Currently available evidence does not support extreme fluid or salt restriction in hospitalized patients with volume overload. Consider permissive restrictions and focus on choosing appropriate diuretic dosing for each individual patient. Diuretic resistance is an exaggerated form of diuretic braking, the kidney's natural response to prevent dangerous degrees of sodium loss from the NKCC2-blocking effects of loop...

CardioNerds (Amit Goyal and Daniel Ambinder), join Dr. Anjali Wagle (Internal medicine resident, Johns Hopkins Hospital) and Dr. Nick Smith (Cardiology fellow, Johns Hopkins Hospital) for an important discussion involving a patient with non-ischemic dilated cardiomyopathy and biventricular heart failure who had developed diuretic resistance. They discuss the role for invasive hemodynamic assessment of volume overload, initial strategies in managing a patient with volume overload, the role of guideline directed therapy in the management of patients with recurrent volume overload, and advanced strategies for diuretic resistance. Dr. Nisha Gilotra (Director of the Cardiac Sarcoidosis Program and assistant professor of medicine, Johns Hopkins Hospital) provides the E-CPR for this episode. Audio editing and Approach to Diuretic Resistance infographic by Dr. Gurleen Kaur (Director of the CardioNerds Internship). This episode is made possible with support from Panacea Financial. Panacea Financial is a national digital bank built for doctors by doctors. Visit panaceafinancial.com today to open your free account and join the growing community of physicians nationwide who expect more from their bank. Panacea Financial is a division of Primis, member FDIC. Claim free CME just for enjoying this episode! Disclosures: NoneJump to: Patient summary - Case teaching - References CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Patient Summary - Diuretic Resistance A young woman in her 20s with non-ischemic dilated cardiomyopathy and NYHA class IV ACC stage D biventricular heart failure with an LV ejection fraction of 30-35% on palliative inotropic therapy complicated by cardiogenic cirrhosis and stage IIIb chronic kidney disease presented with acute decompensated heart failure with volume overload. During her hospitalization she exhibited profound signs of diuretic resistance with minimal improvement after increasing inotropes, increasing IV loop diuretics, adding IV thiazides, and trialing continuous IV furosemide. She was given high dose mineralocorticoids, IV acetazolamide, and hypertonic saline paired with IV furosemide and had a durable treatment response. Episode Teaching - Diuretic Resistance Pearls - Diuretic Resistance Diuretic resistance is a complex clinical problem defined as inadequate natriuresis despite an adequate diuretic regimen. However, the practitioner cannot overlook low output heart failure and/or insufficient renal perfusion as the causes for inadequate diuretic response. In cases of inadequate urine output due to low cardiac output, increased inotropic or mechanical support would be the first objective.Confirming adequate cardiac output to support renal perfusion and/or confirming high filling pressures may require invasive hemodynamic assessment.Sodium avidity is most effectively blunted by treating the patient with maximally tolerated guideline directed therapy. This includes but is not limited to a backbone of ARNI (or ACE or ARB), mineralocorticoid receptor antagonists, beta-blockers, and SGLT-2 inhibitors.In cases of advanced diuretic resistance, hypertonic saline paired with high dose IV furosemide can be an effective strategy.In cases of diuretic resistance combined with cirrhosis and heart failure there is a synergistic hyperaldosteronism that can be targeted with higher doses of mineralocorticoid receptors as is seen in the treatment of cirrhosis with ascites. Notes - Diuretic Resistance 1. What is the role for invasive hemodynamic assessment in acute decompensated heart failure? Cases where intracardiac filling pressures are in question: right heart catheterization (RHC) can give insight into the presence and degree of right versus left sided filling pressures.

Does the thought of managing acute decompensated heart failure (ADHF) give you paroxysmal nocturnal dyspnea?  Recline for a bit while Dr. Michelle Kittleson MD, PhD @MKittlesonMD (Cedars Sinai) takes us through the Zen of jugular venous pressure (JVP) exams, how to approach diuresis, and the fine points of hospital discharge. This knowledge food is easier to swallow than an oral potassium replacement. Enjoy this Curbsiders classic and stay tuned this Wednesday, September 1, 2021 for a brand new CHF Triple Distilled episode. Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com Credits Written and Produced by: Deborah Gorth ScM Cover Art and Infographic by: Edison Jyang Hosts: Matthew Watto MD, FACP and Paul Williams MD, FACP    Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com Guest: Michelle Kittleson MD, PhD Sponsor: Ten Thousand tenthousand.cc Head to tenthousand.cc and enter our code CURB at checkout to save 15%.  Sponsor: BetterHelp betterhelp.com/curb ​​Special offer for Curbsiders listeners: get 10% off your first month at betterhelp.com/curb     Time Stamps* Time Stamps refer to ad-free version 00:00 Intro, disclaimer, guest bio 02:40 Guest one-liner; Picks of the Week 08:33 Case from Kashlak part 1, Definition of acute decompensated heart failure (ADHF), Factors that lead to ADHF (FAILURE mnemonic) 13:39 Historical clues for ADHF; Is salt restriction needed? Fluid restriction? 20:42 More on History and Physical exam for ADHF; JVP exam in detail; Crackles are worthless?! 28:36 Labs to trend during an ADHF admission 33:15 Recap of history, physical exam, and initial approach; Initiating diuresis; Goal urine output; Diuresis in HFrEF vs HFpEF phenotypes 45:32 Diuretic resistance and when to use a drip, metolazone; Do K and Mg need to be 4 and 2? 49:05 When to hold guideline directed medical therapy (Beta blockers, ARNI, ACEI/ARB) 56:05 Who needs a right heart cath? 59:30 Endpoints for discharge; Switch to PO diuretics; Approach to discharge and transitions of care 64:04 SGLT2i in heart failure
 68:15 Take home points and outro


Diuretics have become the bane of modern bodybuilding. Their use has become a matter of course, not a tool to employ only if needed. Sadly, today, if you're getting prepped for a contest by a whole host of internet trained gurus, you're getting diuretics - whether you need them or not. Unfortunately, some of you are paying the ultimate price for such folly. But you can't get shredded without them... So the thinking goes. The only problem with that is that it's not true. And we'll prove it to you today...... #RichGaspari, #JohnRomano, #FitnessFame&Fortune, #GaspariNutrition, #Bodybuilding, #BodybuilderDeaths, #Diuretics,

This episode is also available as a blog post: https://gailraegarwood.wordpress.com/2020/01/13/belly-fluid-retention-while-taking-a-diuretic/

Episode 373 is another conversation with Andy where we covered My Boxing Programming, Females & Insulin Usage, Protein as the BEST Food Altering Drug, aThiazide/Furosemide Blended Diuretic product, How the World Has Gotten Most Biology WRONG, and a lot more! Enjoy the episode and be sure to take notes! Always support Andy at: www.theperformancevibe.com    •••SPONSOR•••   (BEEF) www.skinnybeef.com___use discount code “alex10” to save off your order!   (SUPPLEMENTS) www.tigerfitness.com___use discount code “alex10” to save off your order for MTS Products!   (PEPTIDES) www.real-peptides.com___use discount code “alex10” to save off your order!   •••FIND THE EPISODES•••   ITUNES:https://itunes.apple.com/us/podcast/beastfitness-radios-podcast/id1065532968   LIBSYN:http://beastfitnessradio.libsyn.com   VIMEO: www.vimeo.com/theprepcoach        •••PREP COACH APPAREL•••   https://teespring.com/stores/the-prep-coach-apparel    

Commentary by Dr. Valentin Fuster

In this Fit Tip, Tom discusses an idea that goes all the way back to the 1920's. Learn more about your ad-choices at https://www.iheartpodcastnetwork.com

What dose of diuretics did the "DOSE" trial use in heart failure exacerbations? Was oral bioavailability taken into account?References:Felker, GM, Lee, KL, Bull DA, et al. Diuretic strategies in patients with acute decompensated heart failure. NEJM. 2011; 364(9): 797- 805

Lindsay Moreland-Head, Pharm.D. (@morelandln) describes the pathophysiology of intravascular versus tissue congestion in Acute Decompensated Heart Failure (ADHF), explains the mechanisms of diuretic resistance in ADHF and why non-inotropic strategies may help augment diuresis and discusses the literature on non-inotropic strategies to decongest patients and overcome loop diuretic resistance in ADHF.For more pharmacy content, follow Mayo Clinic Pharmacy Residency Programs @MayoPharmRes or the host, Garrett E. Schramm, Pharm.D., @garrett_schramm on Twitter!You can also connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2020.10.22.350306v1?rss=1 Authors: Hückesfeld, S., Schlegel, P., Miroschnikow, A., Schoofs, A., Zinke, I., Haubrich, A. N., Schneider-Mizell, C. M., Truman, J. W., Fetter, R. D., Cardona, A., Pankratz, M. J. Abstract: Neuroendocrine systems in animals maintain organismal homeostasis and regulate stress response. Although a great deal of work has been done on the neuropeptides and hormones that are released and act on target organs in the periphery, the synaptic inputs onto these neuroendocrine outputs in the brain are less well understood. Here, we use the transmission electron microscopy reconstruction of a whole central nervous system in the Drosophila larva to elucidate the sensory pathways and the interneurons that provide synaptic input to the neurosecretory cells projecting to the endocrine organs. Predicted by network modeling, we also identify a new carbon dioxide responsive network that acts on a specific set of neurosecretory cells and which include those expressing Corazonin (Crz) and Diuretic hormone 44 (DH44) neuropeptides. Our analysis reveals a neuronal network architecture for combinatorial action based on sensory and interneuronal pathways that converge onto distinct combinations of neuroendocrine outputs. Copy rights belong to original authors. Visit the link for more info

Back from our biweekly hiatus, we have a mixed bags of genres to satiate our cinephilic apetites with while getting a masterclass in writing from all four of this week’s contenders. This week’s lineup: Deadwood: The Movie, Demolition Man, The Departed, and Detective Pikachu.

In this episode of Never Generic Podcast, we will be talking about “Vaccine Hesitancy” and how pharmacists can connect with vaccine hesitant patients to improve health care for all. During our supplemental studies segment, we will be having an interview with current UHCOP faculty member, Dr. Fisher, and his past work experience as a Correctional Managed Care Pharmacist. To finish off this episode, we will be reviewing even more diuretic drug card information.

Blood pressure is a sign of a health problem. But what's causing blood pressure to be high? Changing your diet and juicing is important. But what else can you do?

Welcome To The MedFlashGo Podcast. This Is Your Daily 4 Minutes Or Less Rapid Review for medical students. Topics are based on medical board examinations including USMLE, COMLEX, And Shelf Exams. We release a new episode every weekday! In this question of the day, Sean asks students to identify the mechanism of action of the drug in the question. These questions are powered by MedFlashGo The First Voice-based interactive medical question bank currently available on Alexa. This tool allows medical students to study medical topics and be interactively tested without the use of a screen. You can study on your couch, in your car, and on the move without the use of a screen. To get access to the free audio-interactive question bank, click here or go to your Alexa application and search medflashgo In the skills section. To learn more details go to medflashgo.com and check out our frequently asked questions section. Please know that these questions were creatively designed by medical students and physicians for the purpose of education and do not replace health information given from your health professionals. We have tried our best to make sure the information is accurate please, so please let us know if you find any errors and we will be sure to correct them. --- Send in a voice message: https://anchor.fm/medflashgo/message

Commentary by Dr. Ronald Witteles

Talk to a Dr. Berg Keto Consultant today and get the help you need on your journey (free consultation). Call 1-540-299-1556 with your questions about Keto, Intermittent Fasting, or the use of Dr. Berg products. Consultants are available Monday through Friday from 8 AM to 10 PM EST. Saturday & Sunday from 9 AM to 6 PM EST. USA Only. Get Dr. Berg's Veggie Solution today! • Flavored (Sweetened) - https://shop.drberg.com/veggie-solution-flavored-sweetened?utm_source=Podcast&utm_medium=AGM(Anchor) • Plain (Unflavored) - https://shop.drberg.com/veggie-solution-plain?utm_source=Podcast&utm_medium=AGM(Anchor) Take Dr. Berg's Free Keto Mini-Course! In this podcast, Dr. Berg talks about how to do the kidney detox flush. The kidney filters out a tremendous amount of waste through the body. It filters the blood and recycle a lot of nutrients but gets rid of the waste. Consume these vegetables for 3 – 4 days every two months. If it is a powder, have about 2.5 each in a shake. 3 Different Vegetables to Use: (Juice/Blend or Consume as a Whole Plant/Salad) 1. Parsley – This is extremely nutrient-dense. It has vitamin C, vitamin A, carotenoids, phytonutrients, diuretic and Apigenin (lower uric acid). 2. Dandelion Greens – This is good for the liver and kidney. Diuretic and good to lower uric acid. 3. Celery - Diuretic and good to lower uric acid, blood pressure, lower stress level and good night sleep. Benefits of this Detox Flush 1. Flush uric acids and oxalate stones / toxins 2. Provide tons of phytonutrients – will lower oxidative stress, decrease inflammation and protects the cell against toxic environment. 3. Increase urine flow 4. Supply vitamins and minerals Dr. Eric Berg DC Bio: Dr. Berg, 51 years of age is a chiropractor who specializes in weight loss through nutritional & natural methods. His private practice is located in Alexandria, Virginia. His clients include senior officials in the U.S. government & the Justice Department, ambassadors, medical doctors, high-level executives of prominent corporations, scientists, engineers, professors, and other clients from all walks of life. He is the author of The 7 Principles of Fat Burning. FACEBOOK: fb.me/DrEricBerg?utm_source=Podcast&utm_medium=Anchor TWITTER: http://twitter.com/DrBergDC?utm_source=Podcast&utm_medium=Post&utm_campaign=Daily%20Post YOUTUBE: http://www.youtube.com/user/drericberg123?utm_source=Podcast&utm_medium=Anchor DR. BERG'S SHOP: https://shop.drberg.com/?utm_source=Podcast&utm_medium=Anchor MESSENGER: https://www.messenger.com/t/drericberg?utm_source=Podcast&utm_medium=Anchor DR. BERG'S VIDEO BLOG: https://www.drberg.com/blog?utm_source=Podcast&utm_medium=Anchor

Take your salt game to the next-next level. We brushed off this fan favorite episode and rebooted #48 hyponatremia deconstructed with our Chief of Nephrology, Dr. Joel Topf aka @kidney_boy aka The Salt Whisperer for your CME earning pleasure. Learn the correct steps to diagnose and manage this common and dangerous condition. Topics covered include: true versus false hyponatremia, SIADH, tea and toast hyponatremia, beer potomania, safe rates of sodium correction, IV fluid choice, vaptans and more. Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).  Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!   Credits Original episode written and produced by: Matthew Watto MD, FACP  Show Notes and CME questions by: Deb Gorth ScM Cover Art and Infographic by: Edison Jyang Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP    Editor: Molly Heublein (written materials); Matthew Watto MD (audio)  Guest: Joel Topf MD Sponsors   POCUS Fellowship at University of Pennsylvania A novel, collaborative, POCUS fellowship training is available at the University of Pennsylvania for IM and FM graduates!  In 2016 they leveraged the robust EM ultrasound fellowship training infrastructure with UPenn’s progressive Department of Medicine to create the 1st multi-specialty clinical ultrasound fellowship.  Their graduating fellows have made them proud by accepting leadership positions, and if you want to be on the cutting edge, you should join their team.   Interview season is in full swing and they’re actively accepting applications.  Please go to pennultrasound.org or contact nathaniel.reisinger@pennmedicine.upenn for information.  You can apply for fellowship using the eusfellowships.com portal.   VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit.   Time Stamps 00:00 Intro 03:30 Guest interview 07:15 Pick of the week w/Dr. Topf 16:20 Clinical case of hyponatremia 17:48 False hyponatremia normal osmolality 19:34 False hyponatremia high osmolality 20:36 Understanding why osmolality matters 23:28 Workup false hyponatremia 24:45 Recap of discussion so far 25:40 ADH dependent vs independent hyponatremia 27:00 Psychogenic polydipsia 289:15 Renal failure and hyponatremia 30:03 Tea and toast, and Beer Drinker’s potomania 35:22 ADH dependent hyponatremia 38:15 Volume versus osmolality 40:00 Volume status exam 45:14 Additional testing with urine lytes and uric acid 47:30 Treatment for SIADH  52:42 Discussion of the vaptans 58:21 Additional testing in SIADH 62:50 When to admit patient for hyponatremia 63:59 Clinical case of hyponatremia complications 68:56 Fluids and rate of correction 73:36 DDAVP clamp 76:30 Moderate hyponatremia 78:35 Diuretic dosing DOES matter! 81:59 Loop diuretics for SIADH 84:25 Take home points 87:25 Outro Links* Dr. Joel Topf’s Textbook Dr. Joel Topf’s Blog Dungeons and Dragons Tartine (cookbook) by Elizabeth M. Prueitt I Hate You, Don’t Leave Me by Hall Strauss Intentional Parenting by Sissy Goff Mindset by Carol Dweck Nintendo Switch 8.0 Bit Techno- The Curbsiders Theme Song by Stuart Kent Brigham Ure-Na  European Society of Endocrinology Clinical Practice Guidelines.  Don’t miss Dr. Topf on twitter aka @kidney_boy.   *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.     Goal Listeners will recall the pathophysiology of hyponatremia and develop a systematized approach to identifying the type and cause of hyponatremia, as well as how to safely manage hyponatremia.    Learning objectives After listening to this episode listeners will…   Differentiate true and false hyponatremia Recall the pathophysiology of true and false hyponatremia  Interpret blood and urine tests to identify the cause of hyponatremia Recall the limitations of the volume status exam List ADH dependent causes of hyponatremia List ADH independent causes of hyponatremia  Explain the pathophysiology of beer drinker’s potomania and “tea and toast” hyponatremia Use uric acid to differentiate SIADH from other causes of hyponatremia Basic therapy for SIADH Recall safe rates of correction for hyponatremia   Disclosures Dr. Topf has received honoraria from AstraZeneca and Cara Therapeutics. He is joint venture partner in Davita Dialysis centers receiving dividends. The Curbsiders report no relevant financial disclosures.    Citation Topf J, Gorth DJ, Williams PN, Brigham SK, Heublein M, Jyang E, Watto MF. “REBOOT #48 Hyponatremia Deconstructed”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date: July 17, 2017; Updated September 7, 2020.

German bodybuilder Jo Linder shares a secret. The famous Instagram known for his best looks and physic discuss with Dr tony huge about one of his secrets to being shredded.

In this episode of Never Generic Podcast, we will be talking about “Pharmacy and COVID-19 Pandemic”. To help gain more insight on this topic, we will be interviewing Dr. Jessica Babic, a clinical pharmacy infectious disease specialist to hear her take as a health care worker on the front line of the COVID-19 fight. Later on, in our supplemental studies segment, we will be having an interview with pharmacist attorney, Dr. Payal Amin, about her career path and everything you need to know about being a pharmacist attorney. We will end this episode with some diuretic drug card information.

Does the thought of managing acute decompensated heart failure (ADHF) give you paroxysmal nocturnal dyspnea?  Recline for a bit while Dr. Michelle Kittleson MD, PhD @MKittlesonMD (Cedars Sinai) takes us through the Zen of jugular venous pressure (JVP) exams, how to approach diuresis, and the fine points of hospital discharge. This knowledge food is easier to swallow than an oral potassium replacement.    Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).    Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!   Credits Written and Produced by: Deborah Gorth ScM Cover Art and Infographic by: Edison Jyang Hosts: Matthew Watto MD, FACP and Paul Williams MD, FACP    Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com Guest: Michelle Kittleson MD, PhD   Sponsor - VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.   Time Stamps 00:00 Sponsor - VCU Health CE; Intro, disclaimer, guest bio 02:40 Guest one-liner; Picks of the Week 08:33 Case from Kashlak part 1, Definition of acute decompensated heart failure (ADHF), Factors that lead to ADHF (FAILURE mnemonic) 13:39 Historical clues for ADHF; Is salt restriction needed? Fluid restriction? 20:42 More on History and Physical exam for ADHF; JVP exam in detail; Crackles are worthless?! 28:36 Labs to trend during an ADHF admission 33:15 Recap of history, physical exam, and initial approach; Initiating diuresis; Goal urine output; Diuresis in HFrEF vs HFpEF phenotypes 45:32 Diuretic resistance and when to use a drip, metolazone; Do K and Mg need to be 4 and 2? 49:05 When to hold guideline directed medical therapy (Beta blockers, ARNI, ACEI/ARB) 56:05 Who needs a right heart cath? 59:30 Endpoints for discharge; Switch to PO diuretics; Approach to discharge and transitions of care 64:04 SGLT2i in heart failure
 68:15 Take home points and outro
 Sponsor - VCU Health CE   Links* Dr. Kittleson’s go-to brownie recipe My Own Country: A Doctor’s Story by Abraham Verghese The new Run the Jewels album RTJ4 #KittlesonRules  Practice Tests for Jeopardy  Core IM podcast about Salt Restriction in Heart Failure    *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.   Goal Listeners will learn how to manage acute decompensated heart failure.    Learning objectives After listening to this episode listeners will… Learn the basic pathophysiology of acute decompensated heart failure (ADHF) Develop a framework for the approach to diuretic therapy  Gain the tools to effectively monitor the progress of diuresis Develop strategies to approach diuretic resistance  Establish criteria for discharge and strategies to reduce readmission Know which drugs reduce mortality for heart failure with reduced ejection fraction (HFrEF)   Disclosures Dr Kittleson reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.    Citation Kittleson MM, Gorth DJ, Williams PN, Watto MF. “#230 Kittleson Rules Heart Failure”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date August 17, 2020.

According to a study, 60% of adults say they’ve experienced leg cramps at night and more common in the summer. Some researchers believe that our modern lifestyle is to blame. Your food intake, meds, or standing habits may also play a role. The following health conditions are associated with an increase in leg cramping: pregnancy, diabetes, hypertension, arthritis, respiratory disease, MS depression, and artery disease.  Diuretic medications to lower blood pressure may trigger cramps because they deplete the body of fluid and salts. Other medications that can trigger leg cramps are asthma medication, synthetic and bio-identical estrogen hormone medication, and statins.  If your leg cramps are spontaneous and not exercise-related, it’s essential to see your doctor to rule out underlying concerns since cholesterol clogs blood vessels in the legs affecting blood flow. Hypothyroidism produces little amount of the thyroid hormone, and that deficiency can damage nerves that send signals from your spine and brain to your legs and arms. Some people with underactive thyroids will feel tingling or numbness in their muscles, while others might experience leg cramps. For your diet, it’s best to monitor if you are overeating potassium because you can develop an overload leading to an imbalance of minerals and vitamins, causing leg cramps. What’s the answer? Head over to my YouTube channel https://youtu.be/RsW5tNS0NMMto checkout the latest video on the topic. Read the blog https://nancyguberti.com/natural-remedies-to-prevent-leg-cramps/ Join my private Facebook group and keep the wellness learning on-going. Become a member and schedule your monthly 15-minute phone session. Ready to take Charge of your health today? Join Total Wellness Monthly Membership and get started today. Register for the life changing program at Look & Feel Great Method and take back your life today! Want to look and feel great? Lose weight, gain energy & focus, manage your mood, be empowered! Be Happy! Make Healthy Choices today and Stay Healthy! Grab my book Healthy Living Everyday on Amazon and get started! http://bit.ly/HealthyLivingEveryday   If you want to reduce your inflammation, boost your immune system, learn natural ways to weight loss and optimize your health, listen now, ✅ Subscribe to the podcast to gain insight into boosting your health. Want to gain insight with functional medicine lab testing? https://nancyguberti.com/services/ Get free access to the Glyphosate Educational Series: https://nancyguberti.com/gtest/ Get free access to Beat Anxiety Guide:: https://nancyguberti.com/anxiety/ Get free access to the Health Checklist: http://ninestepstohealthyliving.com Follow on IG: https://www.instagram.com/nancyguberti/ Some of my favorite supplements: https://nancyguberti.com/purchase-quality-supplements/ Get a copy of Healthy Living Everyday your wellness blueprint book offering an array of alternative healing and preventive therapies, with more than 365 pages of reflective questions, empowering truth, and simple steps covering many alternative factors to wellness. Available on Amazon: http://bit.ly/HealthyLivingEveryday Share this podcast with a friend.

Most of us have experienced nature’s call shortly after having a cup of coffee. Why does that happen? Kristen talks about the kidneys and how water and caffeine affect them. References and Resources Mechanisms of Caffeine-Induced Diuresis Caffeine Ingestion and Fluid Balance: A Review Requirement of Intact Adenosine A1 Receptors for the Diuretic and Natriuretic Action of the Methylxanthines Theophylline and Caffeine Decreases in Portal Flow Trigger a Hepatorenal Reflex to Inhibit Renal Sodium and Water Excretion in Rats: Role of Adenosine Caffeine and diuresis during rest and exercise: A meta-analysis Caffeine: Is it dehydrating or not? - Mayo Clinic   Connect - Leave comments, suggest topics, and ask science questions! Website: earlybirdscience.com Twitter: @EarlyBirdSci Instagram: @EarlyBirdScience Facebook: @EarlyBirdScience   Check out Kristen’s other show, Headshake, a stream-of-consciousness science podcast (EXPLICIT CONTENT): headshake.show   Disclaimer Early Bird Science is a podcast meant for entertainment and education only. While Kristen has a doctorate (Ph.D.), she is not a medical doctor. Please consult with your physician before making decisions about your health.

5 tips to end the soul-numbing and exhausting practice of people pleasing and suppressing who YOU are.

Commentary by Dr. Valentin Fuster

It's time for our weekly episode of Let's Talk Autism! On today's episode, our hosts Shannon and Nancy cover autism news before having a brief discussion about autism in politics. Then the have an interview with a communications associate from RespectAbility, Eric Ascher! Don't miss it!    

It's time for our weekly episode of Let's Talk Autism! On today's episode, our hosts Shannon and Nancy cover autism news before having a brief discussion about autism in politics. Then the have an interview with a communications associate from RespectAbility, Eric Ascher! Don't miss it!  

In this week's show, Jayne Green, St. Mary Home Care regional director of operations and leader for our home-based Telehealth program, and Ruth Martynowicz, Mercy Home Health Vice President explain the many benefits of the St. Mary Care Connect CHF IV Diuretic Program for patients in our community.

Does your sympathetic nervous system get activated when you notice acute kidney injury in patients with cirrhosis? Ever wonder how to really diagnose hepatorenal syndrome (HRS)? Think you have the bile-acid-stones to start diuretics on a patient requiring pressor support for kidney failure? You have come to the right place! Listen to @kidney_boy Joel Topf, HRS expert Juan Carlos Velez (@veleznephhepato), and self-proclaimed most-handsome-nephrologist Bill Whittier (@TWhittier_RUSH) tackle the complex pathophysiology and treatment of hepatorenal syndrome in this NephMadness 2019 special episode! Fill out your bracket for NephMadness 2019 today and sign up as part of The Curbsiders! Earn CME and read about each region at AJKD blog. Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written and produced by: Justin Berk MD, Nora Taranto MS4 Infographic by: Alex M @nephroguy Hosts: Matthew Watto MD Edited by: Matthew Watto MD, Emi Okamoto MD Guests: Joel Topf MD, Juan Carlos Velez MD, Bill Whittier MD Sponsor Get your ACP membership today and use the code CURB100 to save $100 when you join by March 31, 2019. Time Stamps 00:00 NephMadness Kidney Pun Contest 01:04 Disclaimer 01:38 Sponsor - Become an ACP member today! 02:12 Intro, guest bio 04:38 Guest one-liners, some career advice and Joel’s pick of the week 13:14 Sponsor - Become an ACP member today! 14:48 Case of acute kidney injury in a patient with cirrhosis 16:37 Initial differential diagnosis and approach to newly elevated creatinine in cirrhosis (urinalysis, FeNa, urine sodium) 21:34 History and physical in cirrhosis and AKI 24:56 Hepatorenal physiology 26:45 Fluid choice 30:27 Diuretic therapy in cirrhosis and volume overload 34:38 Is a Renal Ultrasound useful in AKI? 40:05 Recap: the initial approach to AKI in cirrhosis 40:52 Therapeutic trials when volume status is uncertain 46:02 Hepatorenal physiology revisited 50:03 Vasoconstrictor therapy with octreotide, terlipressin, or norepinephrine 62:24 Type 1 versus type 2 hepatorenal syndrome 63:55 Large volume paracentesis (LVP) in cirrhosis with AKI; how much fluid to remove; use of diuretics or LVP in patient on norepinephrine?! 71:18 Diagnostic criteria or HRS 73:00 NephMadness matchups including bile cast nephropathy 78:40 Outro

In this podcast, we discuss a common blood pressure medication class and it's affect on your vitamin and mineral levels. Watch on youtube The blood pressure class to which I refer are Diuretic Medications. A diuretic is a type of medications that helps one eliminate excess sodium and ultimately water, from their kidneys. Diuretics are frequently used as first-line therapy for the treatment of high blood pressure. These medications do a great job for most in lowering blood pressure values. I frequently prescribe them to patients when diet and lifestyle changes are not enough to lower their blood pressure. It is important if you are on this type of medication, do not stop taking it. High blood pressure is also a dangerous condition which can increase your risk for a heart attack, stroke and kidney disease. Diuretic blood pressure medications include: -Hydrochlorothiazide -Triamterene-hydrochlorothiazide (Dyazide, Maxzide) -Chlorthalidone -Spironolactone (aldactone) and sometimes furosemide also known as lasix. Fortunately, these medications do a great job for most and lower blood pressure to safe levels. However, regular use can result in low blood levels of sodium, potassium and magnesium. In addition, they may caused dehydration in some if water intake is inadequate. Other Nutrients depleted , in addition to sodium, potassium and magnesium include: Calcium (Ca) Vitamin C Vitamin B1 (Thiamine) Vitamin B6 (Pyridoxine) Zinc Low levels of sodium can cause weakness, fatigue, dizziness and sometimes even mental confusion. Low levels of potassium and magnesium can cause muscle cramps and in some cases, irregular heartbeats, which may or may not cause symptoms. Consider asking your health care provider if alternative blood pressure medications can be considered. However, do not stop taking your medication unless advised to do so by your physician. Some studies show Co-enzyme Q10 and Hawthorne Berry supplementation may help lower blood pressure. Magnesium may also be helpful. Low levels of vitamin C can result in easy bruising while low levels of zinc can weaken the immune system, lead to skin rashes, and result in chronic diarrhea. If you are are taking a diuretic, try to get these nutrients from your diet, which is the preferred method. A diet high in fruits and leafy green vegetables may be helpful. Also, the following supplements may be considered, especially if you are unable to get adequate amounts through diet. Calcium 500 mg daily (one needs adequate vitamin D to ensure absorption of calcium) Magnesium chelate-125 mg to 500 mg Potassium (also present in a quality multivitamin) Vitamin C- 500 mg daily minimum B-complex as directed on the label Zinc-10 mg to 25 mg (also present in quality multivitamins) Also, follow me on instagram and twitter @ericmadridmd DISCLAIMER- the information in this video if for informational purposes only. I am not providing you with medical advice. Consult with your own personal physician before making any changes to your medications. Sources: Supplement Your Prescription Copyright 2007 by Hyla Class, MD Drug Muggers by Suzy Cohen, RPh. Copyright 2

In this episode I cover the pathophysiology, causes, investigations and management of SIADH.If you want to follow along with written notes on syndrome of inappropriate anti-diuretic hormone (SIADH) go to zerotofinals.com/siadh or find the endocrinology section in the Zero to Finals medicine book.This episode covers the pathophysiology, causes, investigations and management of SIADH. We also look at the pathophysiology and presentation of central pontine myelinolysis.

Check out IFPodcast.com/Episode80 for full shownotes and references, and IFPodcast.com/StuffWeLike for all the stuff we like! Today's episode is sponsored by Atrantil! On Episode 79, we discussed the amazing Atrantil with its founder Dr. Ken Brown. Atrantil can help you beat IBS and SIBO! Atrantil contains natural herb compounds which work syngeristically to control bacteria in the small intestine, while also providing antioxidant and other GI benefits. You can use Atrantil to reduce (or even eliminate!) gas, bloating, constipation, and diarrhea, and also to support digestive health in general! Be sure and give the product a full 30 days to evaluate it's effectiveness, as it can take that long for some people to get your gut bacteria back in line, but it's so worth it!! And it's got a 100% money back guarantee!  Use the link lovemytummy.com/ifp with the code IFP, to get 10% off your purchase! Get Melanie's Book What When Wine: Lose Weight and Feel Great with Paleo-Style Meals, Intermittent Fasting, and Wine, on Amazon and Barnes & Noble! Get Gin's Books' Feast Without Fear: Food and the Delay, Don't Deny Lifestyle SHOW NOTES 9:30 - Listener Q&A: Michelle - Tips For Starting IF? How Long To See Results? 20:40 - Listener Q&A: Anne - Too Much Raw Kale? 26:55 - Listener Q&A: Vaun - Benefits Of Using The Sauna While Fasting? If You Order A Joovv With The Link Joovv.Shop/IFPodcast And Forward Your Proof Of Purchase To Melanie@IFpodcast.com, We'll Send You A Free Gift! 30:00 - Listener Q&A: Vaun - App For Weight Averages? 34:05 - ATRANTIL: This amazing plant-based supplement can stop your GI distress and restore your gut microbiome!! Use the link lovemytummy.com/ifp with the code IFP, to get 10% off your purchase! 36:15 - Listener Q&A: Vaun - Soapwalla Natural Deodorant Cream Recommendation  36:30 - Listener Q&A: Vaun - The Difference In Gin's Facebook Groups? 39:20 - Listener Q&A: Vaun - Melanie's Facebook Group? 41:20 - Listener Q&A: Vaun - Does IF Have A Diuretic Effect? 43:15 - Listener Q&A: Nai - How To Fast Without Coffee? 50:05 - Listener Q&A: Wendy - Can You Fast Two Different Times Instead Of One Long One? 54:25 - How Fasting Affects Rodent's Body Weight Different Than Humans (And What This Means?!)   For information regarding your data privacy, visit acast.com/privacy

Dr. Centor discusses diuretic resistance in patients with heart failure with Dr. Joel Topf. Listeners will gain knowledge to help make better-informed choices when prescribing diuretics to patients with heart failure.

Dr. Centor discusses diuretic resistance in patients with heart failure with Dr. Joel Topf. Listeners will gain knowledge to help make better-informed choices when prescribing diuretics to patients with heart failure.

Diuretic therapy for congestive heart failure treatment, antibiotics for diabetic osteomyelitis after foot surgery, and practical tips with new-onset seizures - is among the knowledge dropped (because, after all, school can't teach us everything).

Join us for this recap of the key clinical pearls and favorite fan voted episodes from 2017 including: lipids, asthma, diuretics, hyponatremia, CKD, vertigo, and dizziness. Plus, Picks of the Year, exciting announcements for 2018, and Paul reveals that he has a wife! Matt, and Paul are joined by Curbsiders Correspondent, Dr. Chris Chiu, who wrote and produced this episode. Stuart was out with the Man Flu. My apologies to Dr. Bryan Brown whose name I forgot to shout-out when listing our Correspondents. Thanks to Kate Grant for her beautiful cover image. Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Time Stamps  00:00 Intro 01:18 Getting to know Chris Chiu introduction 03:07 Picks of the week and 06:10 Picks of the year and discussion of vancomycin and pip-tazo causing AKI 11:41 Recap of Scott Weingart and EM vs IM episode 17:45 Discussion of Lipids, PCSK9, CAC, CCTA 27:10 Asthma pearls recapped 32:43 Dizziness and vertigo recapped 38:40 Diuretics, diuretic resistance, and secondary hypertension diagnosis and treatment 44:35 Diuretic dosing 46:25 Hyponatremia, volume status, solute loads and SIADH 50:08 CKD, when to refer, and an argument about low protein diets 54:25 Matt, Paul, and Chris reflect on important lessons learned from 2017 59:32 Listener questions and comments 63:35 Wrap-up, and shout outs 66:22 Announcements for 2018 67:25 Outro Tags: hyponatremia, salt, kidney, ckd, asthma, vancomycin, zosyn, injury, weingart, emcrit, emergency, lipids, pcsk9, statin, dizziness, vertigo, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medical, medicine, practitioner, professional, primary, physician, resident, student

Step up your salt game. We deconstruct hyponatremia with expert tips from our Chief of Nephrology, Dr. Joel Topf aka @kidney_boy aka The Salt Whisperer. Topics include: true versus false hyponatremia, SIADH, tea and toast/beer potomania, safe rates of sodium correction, fluid restriction, salt tablets, IV fluid choice, DDAVP clamps, and more. Full show notes available at http://thecurbsiders.com/podcast Join our newsletter mailing list. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Case: 85yo F with anxiety, asthma, HTN (on a CCB), hypothyroidism with TSH of 3 on therapy. Sodium was 128 from previous values 134-137 mg/dL. She is more fatigued than usual. Time Stamps 00:00 Intro 03:00 Guest interview 06:45 Pick of the week w/Dr. Topf 15:50 Clinical case of hyponatremia 17:18 False hyponatremia normal osmolality 19:04 False hyponatremia high osmolality 20:06 Understanding why osmolality matters 22:58 Workup false hyponatremia 24:15 Recap of discussion so far 25:10 ADH dependent vs independent hyponatremia 26:30 Psychogenic polydipsia 28:45 Renal failure and hyponatremia 29:33 Tea and toast, and Beer Drinker’s potomania 34:42 ADH dependent hyponatremia 37:45 Volume versus osmolality 39:30 Volume status exam 44:44 Additional testing with urine lytes and uric acid 47:00 Treatment for SIADH 52:12 Discussion of the vaptans 57:51 Additional testing in SIADH 62:20 When to admit patient for hyponatremia 63:29 Clinical case of hyponatremia complications 68:26 Fluids and rate of correction 73:06 DDAVP clamp 76:00 Moderate hyponatremia 78:05 Diuretic dosing DOES matter! 81:29 Loop diuretics for SIADH 83:55 Take home points 86:55 Outro Tags: hyponatremia, salt, sodium, SIADH, ADH, vasopressin, fluids, electrolytes, kidney, nephrology, osmolality, urine, concentration, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, medicine, medical, primary, physician, resident, student

The gang's back together, and they suspect something not right in the world. People just aren't acting the way they're supposed to be acting ... Show notes and links: The Faculty (1998) (imdb.com). This post has no title. (youtube.com). Diuretic (en.wikipedia.org). This post has no title. (dailyrecord.co.uk). | Movieing On (movieing-on.com).

Diuretcs are important medications that will be given very often in your nursing career for a variety of illnesses.  Check out our book “140 Must Know Meds” medoftheday.com The post Hydrochlorothiazide – Diuretic use in hospitals and ICUs appeared first on NURSING.com.

In Episode 078 of the All About Autism Podcast, your hosts Dave and Heather Eaton attempt to put themselves on the right side of history by discussing the cost of autism and a study that suggests another possible “cure” for … Continue reading →

Episode 110 of PotterFicWeekly has been released! Four more Poufwa’s before the Torch is passed! In our third of six episodes covering Kezza’s Rebuilding Life, we move on to Chapters 22-29. This episode is packed with unpredictably on-topic analysis of some of the best chapters of Kezza’s fic! A little. PS also beats Scott at […]

Torasemide is a new loop diuretic with a longer half-life and longer action than furosemide in healthy subjects. In order to evaluate the pharmacodynamic effects, single oral doses of furosemide (80 mg) and torasemide (20 mg), which were equipotent in healthy subjects, were given to 14 patients with cirrhosis and ascites. Before the study patients underwent an equilibration period of 4 days without diuretics. The drugs were alternated following a randomized double-blind cross-over design after a wash-out period of at least 2 days. Urine was collected at defined intervals for 24 h after drug administration and blood samples were taken before, 6 h and 24 h after medication. Torasemide induced greater cumulative 24 h diuresis (2863 ± 343 vs. 2111 ± 184 ml, p < 0.01) than furosemide. Torasemide did not differ from furosemide for cumulative 0–6 h sodium excretion (96 ± 17 vs. 92 ± 23 mmol sodium) but caused a more pronounced cumulative 6–24 h natriuresis (38 ± 11 vs. 17 ± 4 mmol, p < 0.05). Five patients exhibited a weak response to furosemide (0–36 mmol sodium/24 h, median 24 mmol; 690–1460 ml urinary volume/24 h, median 1325 ml). These patients showed significantly higher natriuresis and diuresis following torasemide (26–136 mmol sodium/24 h, median 78 mmol, p < 0.05; 1670–3610 ml urinary volume/24 h, median 2200 ml, p < 0.05). Twenty-four hours after administration of both drugs there were no significant changes in hemodynamic, renal or hormonal parameters. No adverse effects were noted with either treatment. These findings suggest that torasemide might be more advantageous than furosemide in the treatment of ascites due to cirrhosis.

Wed, 1 Jan 1986 12:00:00 +0100 https://epub.ub.uni-muenchen.de/5761/1/Gerbes_Alexander_5761.pdf Arendt, Rainer M.; Gerbes, Alexander L. ddc:610, M

1. DeAndre Ayton was suspended for 25 games for testing positive for a Diuretic.2. Jackie MacMullan of ESPN wrote in an article, “When Irving lapses into these funks, he often shuts down, unwilling to communicate with the coaching staff, front office, and sometimes even his teammates. Nets team sources say once such episode occurred during Brooklyn’s trip in China, leaving everyone scratching their heads as to what precipitated it.” She went on to say though Irving’s teammates seem to love him, “[his] mood swings are the unspoken concern that makes Nets officials queasy.”3. The NCAA voted unanimously to begin the process of modifying its rules to allow college athletes to make money of their name, image, and likeness “in a manner consistent with the collegiate model”.4. Biggest surprises / disappointments.5. Four teams remain undefeated, the Sixers, Nuggets, Spurs, and Timberwolves.Support this podcast at — https://redcircle.com/full-court-press/donations