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diagnosis management anesthesiology checklist intraoperative anaphylaxis cardiac cardiacarrest differential evaluation gca giantcell hyperkalemia ischaemia ischemia k nephrology perioperative potassium preop
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... If persistent ST ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
patient’s underlying medical ... senior on-call / dial ... • Check ECG rhythm ... POTENTIAL CAUSES ... Diagnosis #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
devices could have caused ... Check serial lactates ... cultures if possible (eg ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
in Anaesthesia ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... Medical history ... indicated • EKG ... Obtain EKG if: ... perioperative medical
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Involves large and medium ... not be subtle e.g ... E.g. 80 yo ESR cutoff ... identifies 85 to 95% of cases ... (Cornelia NEJM 2014
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... Cortisol+ACTH stim ... only if no clear cause ... Elimination (see Table
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