34 results
Flecainide Toxicity on ECG

70 year old patient with chronic atrial fibrillation on an antiarrhythmic presented with
Flecainide Toxicity on ECG ... patient with chronic atrial ... fibrillation on ... presented with nausea ... #EKG #Electrocardiogram
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Electrocardiogram (EKG ... nodal conduction Uses ... : - Atrial fibrillation ... and atrial flutter ... Electrocardiogram #EKG
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... fibrillation or ... Control rate (e.g ... Treat underlying cause
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup ... life-threatening causes ... rupture Initial workup ... : • EKG • Bedside ... , PT. aPTT • Serial
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... Consider invasive arterial ... consider need for anticoagulation ... Ischemia #Ischaemia #Anesthesiology ... Diagnosis #Management #Workup
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... Nephrotoxic drugs (e.g ... are caused by prerenal ... obstruction: • Trial ... KidneyInjury #simplified #workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... cultures if possible (eg ... anaesthesia #Sepsis #Anesthesiology ... Diagnosis #Management #Workup
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Sepsis (→ 3-14) e.g ... #Differential #Causes ... #Anesthesiology ... Diagnosis #Management #Workup
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
for Three Common Causes ... when possible (eg ... , atrial fibrillation ... Ameliorate increased work ... oxygenation; remove work
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
pressure as a cause ... and positioning (e.g ... (eg steroid dependency ... #Differential #Anesthesiology ... Diagnosis #Management #Workup