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diagnosis management anesthesia anesthesiology intraoperative differential hyperkalemia nephrology anaphylaxis bradycardia cardiac cardiology crisis criticalcare hypotension ischaemia ischemia laryngospasm myastheniagravis myasthenic
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 ... #Hyperkalemia #IntercellularShift
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... differential - Beta-HCG ... - Infectious workup ... Cardiovascular: Beta-blockers ... calcium channel blockers
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... • Cell Lysis (e.g ... Resistance • Beta ... #Hyperkalemia #IntercellularShift ... #Causes
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
flattening or inversion ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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 ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... and positioning (e.g ... (eg steroid dependency ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... alternate vasopressor (e.g ... glucagon in ß-blocked ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Laryngospasm and Stridor - Guidelines for Crises in Anaesthesia ❶ Call for help and inform theatre
obstructing the airway, e.g ... neuromuscular blocker ... Consider other causes ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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