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diagnosis management anesthesiology checklist intraoperative differential anaphylaxis cardiac cardiacarrest effect evaluation hyperkalemia hyperthermic inotropes ischaemia ischemia k nephrology perioperative pharmacology
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
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Resistance, Main Uses ... , medium 4-10 mcg ... Vasopressors #Properties #Table ... Effect #Management #Comparison
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
The probable cause ... patient’s underlying medical ... • Check ECG rhythm ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... 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
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
Hyperthermic Toxidromes Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures. • Sympathomimetic -
dopamine blockers (e.g ... dopamine agonists (e.g ... pharmacogenetic disease caused ... Hyperthermic #Toxidromes #comparison ... #table #diagnosis
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