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management diagnosis criticalcare treatment anesthesia anesthesiology cardiology checklist inotropes intraoperative table vasopressors comparison differential foamed algorithm anaesthetic anaphylaxis bradi chf
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Adrenalin - "Epi" - ACLS ... ), Symptomatic bradycardia ... - Symptomatic bradycardia ... #criticalcare #summary ... comparison #table #pharmacology
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
and Inotropes - Pharmacology ... Summary Vasopressors ... Risk of reflex bradycardia ... first agent in shock ... • Higher doses cause
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management Summary ... Consider IL NS/LR infusion ... Setup - Ultrasound ... and Survey 4) Workup ... Diagnosis #Management #Summary
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... effects: Reflex bradycardia ... Bradyarrhythmias, Some cases ... Can be used in all ... comparison #table #pharmacology
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Glucose/Temp • ACS ... blocking agent • Shock ... Sotalol • Propofol infusion ... Spondylarthropathies Other causes ... differential #diagnosis #causes
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... reservoir bag and APL ... rate, rhythm, perfusion ... Consider known drug causes ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... arrest where other causes ... pack. ❸ Remove all ... an adrenaline infusion ... Diagnosis #Management #Workup
Orthopedic Emergencies Compartment Syndrome • An increase in compartment pressure to the point where tissue perfusion is
point where tissue perfusion ... - Remove all ... Syndrome • Syndrome caused ... (HBOT) Spinal Shock ... characterised by bradycardia
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia Signs of severe toxicity: • Sudden alteration in
Guidelines for Crises ... collapse: sinus bradycardia ... tachyarrhythmias may all ... anaesthetic (remember infusion ... Diagnosis #Management #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
palpitations, bradycardia ... diuretics, Saline infusion ... reabsorption) Workup ... only if no clear cause ... Ca-gluconate or 1g CaCl
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