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management diagnosis hyperkalemia neurology epilepticus cardiology differential electrocardiogram encephalopathy equivalents interpretation ischemia k kdigo mgh pediatrics peds pres protocol reversible
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... deWinter T waves - starts ... depression in VI-V2 - posterior ... #Ischemia #ECG ... #EKG #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
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment ... algorithm for management ... monitor 12-lead ECG ... #treatment #potassium ... #high #nephrology
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... mcg/Kg/minute, titrate ... maximum of 24 mcg ... seizure #Management #neurology ... pediatrics #peds #algorithm
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hemolyzed sample 2. ... Heart: • Order a STAT ... EKG to assess cardiac ... stabilize heart if EKG ... #potassium #high
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... Optimize volume status ... : • Calcium 2- ... 10U reg IV + 1-2 ... #potassium #nephrology
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
Treatment Protocol ... over 5 min (need EKG ... mg/kg/hr 2) Propofol ... #Protocol #algorithm ... #neurology #management
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