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management diagnosis epilepticus differential electrocardiogram encephalopathy equivalents evaluation hyperkalemia interpretation ischemia mgh pediatrics peds perioperative posterior preop preoperative pres protocol
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... Pathologic Q - 1/3 ... deWinter T waves - starts ... #Ischemia #ECG ... #EKG #diagnosis
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... mcg/Kg/minute, titrate ... IV infusion of 3 ... seizure #Management #neurology ... pediatrics #peds #algorithm
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
ASA class If high ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... Risk factors 3. ... on MRA/CTA • Anterior ... • EEG: With persistent ... 3 mEq/L • Seizures
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hemolyzed sample 2. ... TPN is infusing 3. ... EKG to assess cardiac ... stabilize heart if EKG ... #potassium #high
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
100mg/min) 3) ... over 5 min (need EKG ... mg/kg/hr 2) Propofol ... #Protocol #algorithm ... #neurology #management
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