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diagnosis differential management anesthesia anesthesiology bradycardia intraoperative nephrology workup cardiology crisis endocrinology hyperthermia hyperthyroidism malignant polymorphic signs symptoms tdp thyroid
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
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 ... Aldosterone • ENaC blockers ... nephropathy • Beta ... #IntercellularShift ... #Causes
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 ... Differential Diagnosis Algorithm ... 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 ... bradycardia, AV blocks ... Combo of insulin + beta-agonist ... #Treatment #Algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
↑ T3 - Mild hypercalcemia ... ↑ AST/ALT • Treatment ... : - Beta blocker ... : • Beta blockers ... hyperthyroidism #causes
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... toxicity (→ 3-10); beta-blocker ... calcium channel blocker ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... Hypomagnesemia • Hypokalemia ... Hypocalcemia (rarely) Treatment ... (non selective beta ... 1b (lidocaine)- case
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
❹ Call for MH treatment ... COMPLICATIONS AND OUTLINE TREATMENTS ... calcium channel blockers ... with dantrolene Hyperkalaemia ... Intraoperative #Checklist
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