21 results
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
- Metabolic syndrome ... potential Ca2+ channel ... failure Ca2+ channel ... Pgp-dependent drugs (e.g ... contraindications #table
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... Typical ECG ... ) BRASH Treatment ... • Aggressive treatment ... • If on a Ca2+ channel
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
Medications for ... , changes on ECG ... , and Table 3 summarizes ... medications used ... #Management #Medications
Tumor Lysis Syndrome
An acute, life-threatening condition that appears within 7 days of starting cytotoxic therapies in
Tumor Lysis Syndrome ... malignancies Treatments ... with Ca only if EKG ... changes, otherwise ... treat with "hyperkalemia
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
tinnitus, visual changes ... WBC >100k, + lab signs ... organ damage • Treatment ... hydration - Hyperkalemia ... unless worrisome EKG
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
• Abrupt rate changes ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... Signs of shock or ... peds #Pediatric #treatment
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
with previously stable ... hypertension and signs ... disorders including hypokalemia ... renal bruit or signs ... Vasculitis • Endocrinologic
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... heparinized tube) • ECG ... Elimination (see Table ... STOP offending medications ... K-Binding Resins - Exchanges
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Seizures • Vision changes ... Blood transfusion, Hypercalcemia ... territories signal changes ... Electrolyte abnormality, Medication ... epilepticus Treatment
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Hyponatremia • Hypercalcemia ... Renal Epithelial Channels ... Tolvaptan) • Treatment ... #Pharmacology #Medications ... #Table