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diagnosis differential management bradycardia cardiology nephrology anesthesia anesthesiology ekg electrocardiogram elevation intraoperative polymorphic segment st stelevation stemi tdp torsadesdepointes treatment
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
and Management Algorithm ... Hypothyroidism - TOX: beta-blockers ... LIFE THREATENING CAUSES ... TREATMENT - Drugs (beta-blockers ... Electrolytes (hyperkalemia
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... • Low EABV (e.g ... Aldosterone • ENaC blockers ... nephropathy • Beta ... #IntercellularShift
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
Diagnostic Approach to Hyperkalemia ... inhibitors Other causes ... - NSAlDs - Beta-Blockers ... #Hyperkalemia ... #Algorithm #diagnosis
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... • Cell Lysis (e.g ... Resistance • Beta ... #IntercellularShift ... #Causes
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... ECG changes, weakness ... injury, etc) ECG ... bradycardia, AV blocks
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... toxicity (→ 3-10); beta-blocker ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
. hyperkalemia) ... . digoxin, beta ... blockers, calcium ... channel blockers ... Physiological causes
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... Hypomagnesemia • Hypokalemia ... (non selective beta ... 1b (lidocaine)- case ... TDP #Management #Algorithm
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Bundle Branch Block ... bundle-branch block ... Disorders: • Hyperkalemia ... voltage Other Causes
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