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management differential cardiology ecg hyperkalemia stemi antinxp2 antinxp2dm aspirin avr classification cooling criticalcare dermatology dermatomyositis elevation emergent encephalopathy equivalents evaluation
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
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 ... #EKG #diagnosis ... #electrocardiogram
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
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
artery (LMCA). left anterior ... clusvon has a high ... failure, and death. 2. ... #electrocardiogram ... #diagnosis #ekg
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
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... elevation seen > 2 ... • Short QT, high ... #differential #diagnosis ... #ekg #electrocardiogram
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