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diagnosis differential nephrology cardiology potassium bradycardia elevation hypokalemia management acidosis anesthesia anesthesiology antiarrhythmics checklist ecg ekg electrocardiogram intercellularshift intraoperative lactate
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
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
inhibitors Other causes ... transplant - SLE High ... - NSAlDs - Beta-Blockers ... #Algorithm #diagnosis ... #differential #causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... potassium • Beta ... cell membrane - Beta ... differential #diagnosis #causes ... #potassium #high
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... potassium • Beta ... cell membrane - Beta ... differential #diagnosis #causes ... #potassium #high
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
Antiarrhythmics Pharmacology Summary Cardiac Conduction Phases: Phase 0 - Ventricular Depolarization: • Na+ channels open leading to a
Antiarrhythmics Pharmacology Summary ... Vaughan Williams Classification ... 2 - Beta Blockers ... alpha & beta adrenergic ... #Classes #pathophysiology
Causes of Hyperkalemia - Differential Diagnosis Framework • Cellular Shift: - Exercise
Causes of Hyperkalemia ... - Medications: beta ... blockers, digitalis ... Differential #Diagnosis #Causes ... #potassium #high
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 ... • Short QT, high ... voltage Other 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 ... #Causes
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
(PVC's) - Summary ... heart disease Causes ... Hypomagnesemia • Hypokalemia ... Bundle branch block ... percent PVCs/day • High
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