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diagnosis differential management nephrology cardiology potassium bradycardia high hypokalemia anesthesia anesthesiology checklist endocrinology intraoperative workup classification clinical criticalcare elevation hyperthyroidism
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
Drugs causing hyperkalemia • Impaired release of renin: NSAIDs, Beta blockers, Cyclosporine, tacrolimus, Diabetes, Elderly •
Drugs causing hyperkalemia ... renin: NSAIDs, Beta ... blockers, Cyclosporine ... Drospirenone #Drugs #hyperkalemia ... #medications #causes
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
inhibitors Other causes ... - NSAlDs - Beta-Blockers ... #Hyperkalemia ... #Algorithm #diagnosis ... #differential #causes
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... cells: Insulin, Beta-Agonist ... Refeeding Syndrome #Hypokalemia ... #causes #potassium
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Medications: • Beta ... blockers • Calcium ... channel blockers ... Spondylarthropathies Other causes ... differential #diagnosis #causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
potassium • Beta ... blockers • Antibiotics ... cell membrane - Beta ... adrenergic receptor blockers ... differential #diagnosis #causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
potassium • Beta ... blockers • Antibiotics ... cell membrane - Beta ... adrenergic receptor blockers ... differential #diagnosis #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
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... Differential Diagnosis Algorithm ... Diuretics • Hypercalcemia-PTH ... Na-KATPase, EGFR,HNF-1beta ... Magnesium #Low #Causes
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Treat underlying cause ... Treat underlying cause ... #Tachycardia #Treatment ... management #cardiology #algorithm
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