🆘“Nephrology Stopped the Diuretics: Renal Considerations in the Management of Heart Failure” 🫘 🫀 #ACC23#CardioNerds@CardioNerds
Dr. Alison Grazioli discussed the response to diuretics in HF:
What happens after you start loop diuretics?
🔸Net Na loss
🔸Short term Anti-Natruresis: ↗️Na retention
🔸Nephron remodeling
‼️Na loss may be equivalent to Na retention‼️
Patients with decompensated HF will need higher doses of diuretics due to decreased renal blood flow: #ACC23#CardioNerds@CardioNerds
⚠️Sequential Nephron Blockade 🔥:
🔸Progressive increase in Na depletion.
🔸Diuretics work on different parts of the nephron- target different channels to optimize diuresis. #ACC23#CardioNerds@CardioNerds
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