{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"The Pharm So Hard Emergency Medicine & Hospital Pharmacy Podcast","title":"Episode 126. Part 2 – Loop There It Is! Navigating Diuretics, Resistance, and Heart Failure Therapies","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/e0a03387\"></iframe>","width":"100%","height":180,"duration":2975,"description":"Picking up right where Part 1 left off, this episode zeroes in on the practical, high-stakes side of inpatient heart failure management. Dr. Cait Kulig returns to unpack key adverse effects of diuresis, strategies to overcome diuretic resistance, and how to approach add-ons, IV vasoactive agents, and inotropes.\nJimmy and Cait also dive into the impact of acute decompensated heart failure on pharmacokinetics, diuretic selection, and guideline-directed therapy across HFrEF and HFpEF—including tips for transitioning to ARNIs and remembering what really matters during inpatient optimization.\nWhether you're adjusting diuretics or making big-picture decisions, this episode will help you level up your heart failure confidence.","thumbnail_url":"https://img.transistorcdn.com/0slabNpqDiCXbVXLa2n3pgCJBybpmvn1oy523a_rHN8/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS83NDY1/ODFlMDllY2JhZTg2/YmQ0N2U5NTI2NjFh/MjQ4YS5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}