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diagnosis differential cardiology management anesthesia anesthesiology intraoperative nephrology workup bradycardia criticalcare hypokalemia alkaline alp central classification clinica clinical complexes digoxin
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
sick sinus, AV block ... Hypothyroidism - TOX: beta-blockers ... LIFE THREATENING CAUSES ... TREATMENT - Drugs (beta-blockers ... Electrolytes (hyperkalemia
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
transplant - SLE High ... Ketoconazole Low ... - NSAlDs - Beta-Blockers ... #Hyperkalemia ... #Algorithm #diagnosis
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... • ENaC blockers ... nephropathy • Beta ... #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... • Insulin • Beta ... Liddle's syndrome #Hypokalemia ... Differential #Diagnosis #Algorithm
Digoxin Pharmacology and Pathophysiology 1) Na/K ATPase Pump - Digoxin works by directly binding to and inhibiting
- When digoxin blocks ... intracellular calcium causes ... high potassium levels ... Since digoxin blocks ... (or low potassium
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Check fresh gas flow ... Also consider: high ... toxicity (→ 3-10); beta-blocker ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia • Can occur with deliberate or accidental
High Central Neuraxial ... Block - Guidelines ... sequence can be slow ... Central #Neuraxial #Block ... Intraoperative #Checklist
Low Alkaline Phosphatase - Hypophosphatasia Is Low Alkaline Phosphatase Of Clinical Importance? ALP enzyme- Discovered in 1923 Low
Most cases diagnosed ... fractures of feet, thigh ... pyrophosphate) blocks ... Hyperlipidemia - Hypercalcemia ... Phosphatase: • Other causes
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
effects of neuraxial block ... Increase fresh gas flow ... • Exclude high ... Pneumothorax and/or high ... Intraoperative #Checklist
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 ... Tower sign) and low-amplitude ... • Short QT, high
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