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management differential hyperkalemia causes nephrology rhabdomyolysis rheumatology antinxp2 antinxp2dm aspirin autoimmune cardiology classification cooling criticalcare dermatology ecg electrocardiogram emergent encephalopathy
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management Algorithm ... Dialysis Serum potassium ... and ECG changes ... #high #diagnosis ... #treatment
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
- Differential Diagnosis ... Drugs (Statins), ... (polymyositis/Dermatomyositis ... Monitor potassium ... #Differential #Diagnosis
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
- Differential Diagnosis ... Lactate > 1.5 High ... ) MAP > 60-65 2) ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm
Salicylate Toxicity - Diagnosis and Management Consider if: 1) Patient is hot and altered 2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... hot and altered 2) ... Respiratory Alkalosis, High ... Lactate, Low Potassium ... #management #Treatment
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
deWinter T waves - starts ... proximal LAD or high ... in avL - early inferior ... unless LBBB/LVH/high ... #EKG #diagnosis
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... Toxins - Drugs - Statins ... : Polymyositis/Dermatomyositis ... Monitor potassium ... #Differential #Diagnosis
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Altered mental status ... on MRA/CTA • Anterior ... • EEG: With persistent ... epilepticus Treatment ... underlying cause • Treatment
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: ... stratification #diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Optimize volume status ... : • Calcium 2- ... 10U reg IV + 1-2 ... #potassium #nephrology
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hemolyzed sample 2. ... site/line where potassium ... Heart: • Order a STAT ... Hyperkalemia #Management #treatment ... #potassium #high
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