Decongestion and acetazolamide
Really interesting trial from European Society of Cardiology. ADOVAR. Adding acetazolamide 500mg IV daily + the usual IV frusemide resulted in higher rates of clinical decongestion at 3 days with no signals of harm in acute decompensated heart failure. I suspect this practice will become more widely adopted, even for garden variety de-resuscitation. I usually reserved acetazolamide (at a higher dose) for treating alkalosis in diuresis but it might be worth giving a low dose up-front...
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Source: Student Doctor Network - September 3, 2022 Category: Universities & Medical Training Authors: lymphocyte Tags: Critical Care Source Type: forums
Idiopathic intracranial hypertension
Typical overweight female with classic symptoms. POCUS with large ONSD.
How many of you guys are doing the LP in the ER? Any evidence that this needs to be done emergently?
Do you admit for MRI/MRV?
Do you start them on acetazolamide before confirming dx? (Source: Student Doctor Network)
Source: Student Doctor Network - September 14, 2020 Category: Universities & Medical Training Authors: Bougiebuster Tags: Emergency Medicine Source Type: forums
Acetazolamide and Calcium stones
Does anyone know why Acetazolamide precipitates Calcium Oxalate stones? Is it because Acetazolamide causes metabolic acidosis and build up of H+ in the blood displaces Ca2+ from albumin --> excess free Ca2+ gets filtered by glomerulus and precipitates calcium stones?
Thanks for the help! (Source: Student Doctor Network)
Source: Student Doctor Network - July 24, 2019 Category: Universities & Medical Training Authors: Mushrooomboy Tags: Step I Source Type: forums
Re: Altitude sickness and acetazolamide
(Source: BMJ Comments)
Source: BMJ Comments - July 2, 2018 Category: General Medicine Source Type: forums
