thehospitaldoc
Region: US
Tuesday 18 August 2026 20:53:13 GMT
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Kat :
If hyponatremia is caused by SSRI would you stop that medication and if so what would you watch for?
2026-08-19 03:19:15
0
dr.mc.im :
Fun fact - we actually worry more about HYPERnatremia with large volume loop diuresis. Loops will eventually hit a ceiling and start dumping free water. In the ICU, we typically ADD a thiazide (like metolazone) so we don’t have to retroactively correct a free water deficit.
2026-08-19 23:12:03
53
utilitarian :
I stop HCTZ all the time because of low sodium, low chloride and high calcium
2026-08-19 10:28:06
10
Arif :
what is the best book 📖 to learn internal medicine
2026-08-22 19:59:37
3
David Lanagan :
Funny HCTZ story. Had a patient that did have hyponatremia and after discussion we dcd her HCTZ. She was a teacher and loved pickles, in fact, loved them so much that students and teachers both brought her pickles all the time and called her the Pickle lady. After the HCTZ was discontinued, she lost her taste for them entirely. She was so amazed.
2026-08-25 04:26:28
2
Sam :
How do you know which drug is more likely I doubt there is any trial comparing
2026-09-09 06:22:30
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kcreatinine :
Then why do so many folks on thiazides need potassium?
2026-08-19 06:52:05
1
LolaAznaur :
Oxcarbazepine is underrated- can cause rapid drop of Na
2026-08-19 13:18:41
5
andokschickenburger :
but I remember that loop diuretics is the strongest diuretics since it can lower everything 😭
2026-08-24 14:15:05
1
يوماً ما :
Indeed Thiazide like especially Metalazone is number one
2026-09-05 00:09:03
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Jordane Kernot :
I DID NOT KNOW THIS ABOUT SSRI's. This explains my issue with peeing out all of my sodium!
2026-08-23 17:35:32
1
AP0214 :
I remembered bc of HyperGLUC, everything else was low 😅
2026-08-22 04:59:12
2
healthcareexitwithmary :
Yes that is what I picked ❤️
2026-09-02 04:36:38
0
sdmsmd :
HypoNatremia
2026-08-26 19:18:50
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English-Football. :
Thiazides!
2026-09-02 17:11:00
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Khaled Alhag :
diuretic
2026-09-03 16:52:04
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Elise :
oh thank god. I immediately guessed thiazide. I gotta tell my attendings I got this right 😎😂
2026-08-18 22:25:03
2
georgettevianni :
I thought Lasix, a retired RN 🤔
2026-08-18 22:08:41
0
DR. AHMED AARAN 🧑⚕️🩸 :
furesomide
2026-09-11 14:48:49
0
TPTPlayer :
Excellent
2026-09-13 14:18:04
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Dana Bloxom Foelsch :
HCTZ because my sodium is low but works better for me.
2026-08-23 02:22:10
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Mark :
source?
2026-08-25 04:07:38
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angeleyesxxx89 :
oxcarb
2026-08-24 21:50:45
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None :
Lasix
2026-09-05 03:55:57
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Keri, RN | Beekeeper :
Ain’t nobody got time fo dat! Wait 2 days for the answer? Really?
2026-08-19 14:02:44
0
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