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diagnosis differential cardiology bradycardia causes management pharmacology ecg ekg electrocardiogram medications table adverseeffects antihypertensive bb betablocker bloodpressure bradyarrhythmia contraindications ddi
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Diagnosis Framework BRADI ... Endocrine: • Hypothyroidism ... Medications: • Beta ... blockers • Calcium ... channel blockers
Pharmaceutical Management of Hyperthyroidism / Thyroid Storm Beta-Blockers • Decreases sympathetic hyperactivity • Partially blocks peripheral conversion
Management of Hyperthyroidism ... Thyroid Storm Beta-Blockers ... peripheral conversion ... • Decreases conversion ... accompany storm #Hyperthyroidism
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
and Management Algorithm ... - ENDOCRINE: Hypothyroidism ... - TOX: beta-blockers ... TREATMENT - Drugs (beta-blockers ... Electrolytes (hyperkalemia
Compelling and Possible Contraindications to Antihypertensive Drugs Diuretics (thiazides) - Gout - Metabolic syndrome, Glucose intolerance, Pregnancy,
, Hypokalemia, Erectile ... higher risk of hyperkalemia ... - Pregnancy, Hyperkalemia ... dihydropyridines) - Tachycardia ... statins, digoxin) Beta
Beta Blocker Side Effects / Toxicity Cardiac Side Effects: • Sinus bradycardia, AV block, Heart failure exacerbation,
Beta Blocker Side ... bradycardia, AV block ... exacerbation, Beta ... syndrome (e.g. tachycardia ... Facilitation of hyperkalemia
Ventricular Tachycardia - Management Algorithm Wide Complex Tachycardia: Rate > 100, QRS > 120 DDx: Ventricular tachycardia, SVT
Ventricular Tachycardia ... - Management Algorithm ... iso Na channel blocker ... , Hyperkalemia, ... VTach #Management #Algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
↑ T3 - Mild hypercalcemia ... Treatment: - Beta ... blocker - Thionamide ... Treatment: • Beta ... blockers • Thioamides
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
Diagnostic Approach to Hyperkalemia ... - NSAlDs - Beta-Blockers ... #Hyperkalemia ... #Algorithm #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
(1) Sinus tachycardia ... Multifocal atrial tachycardia ... - treat with beta-agonist ... (runs of tachy/brady ... Wong @mchlwng #Tachycardia
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
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