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diagnosis management workup anesthesia anesthesiology differential intraoperative abortive anaphylaxis cva dosing evacuation hyperkalemia hyperreflexia hypertension hyperthermia hyporeflexia indications ischemic k
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
Cardioembolic: • ECG ... +/- TEE (high Afib ... v Holter (r/o Afib ... workup #diagnosis #checklist ... #neurology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Deep coma (any cause ... polyneuropathy (e.g ... differential #diagnosis #table ... #neurology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Phaeochromocytoma Neurologic ... Anesthesiology #Anesthesia #Checklist
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
with previously stable ... risk factors (eg ... hypertension (eg ... hypertension (eg ... Neurologic disorders
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... as a possible cause ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department INITIAL THERAPY -
Phenytoin - May cause ... Pentobarbital - Titrate to EEG ... Midazolam - Titrate to EEG ... #Medications #Neurology ... Pharmacology #Dosing #Table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... Terbutaline 7 µg/kg ... Treatment #potassium #nephrology
Emergency Evacuation - Guidelines for Crises in Anaesthesia Anaesthetised or sedated patient requires unplanned transfer because
Guidelines for Crises ... environmental hazard (e.g ... Transfer on operating table ... remember mains cable ... Intraoperative #Checklist
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