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diagnosis differential management nephrology cardiology potassium pharmacology treatment criticalcare bradycardia hypokalemia anesthesia anesthesiology anthracycline binders binding cardiotoxicity checklist chemotherapy classification
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 ... #Hyperkalemia ... #Algorithm #diagnosis
Systemic Glucocorticoid Dose Equivalents. Note: approximate equivalent dose is based on anti-inflammatory potency. Fludrocortisone is not
Glucocorticoid Dose ... approximate equivalent dose ... because of its high ... Corticosteroid #Steroid #Conversion ... #Table #Dose #Equivalents
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... potassium • Beta ... cell membrane - Beta ... differential #diagnosis #causes ... #potassium #high
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
10 g QD (adjust dose ... Usual maintenance dose ... g QD; increase dose ... patients sensitive to high ... #pharmacology #table
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Repeat 12-milligram dose ... Treat underlying cause ... Treat underlying cause ... management #cardiology #algorithm
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... potassium • Beta ... cell membrane - Beta ... differential #diagnosis #causes ... #potassium #high
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 ... -2 hours Dose ... ~2 hours Dose
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 Hyperkalemia - Differential Diagnosis Framework • Cellular Shift: - Exercise
Causes of Hyperkalemia ... - Medications: beta ... blockers, digitalis ... Differential #Diagnosis #Causes ... #potassium #high
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