14 results
Causes of Prolonged Emergence - Anesthesiology

Prolonged Drug Action:
• Overdose 
• Hypothermia (< 33 C) 
• Incr
Causes of Prolonged ... Emergence - Anesthesiology ... ketoacidosis • Electrolyte ... hypocalcæmia — hypomagnesæmia ... Prolonged #Emergence #Anesthesiology
Magnesium Electrolyte Repletion
Oral - Only do if patient does not tolerate IV
 • Magnesium oxide (can
Magnesium Electrolyte ... diarrhea and cause ... #Magnesium #Electrolyte ... #Repletion #management ... #hypomagnesemia
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Hypomagnesemia - ... Primary intestinal hypomagnesemia ... inhibitors - Electrolyte ... Low #Magnesium #Table ... Classification #Causes
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
Potassium Electrolyte ... patient also has hypomagnesemia ... Intravenous (can cause ... #Potassium #Electrolyte ... #Repletion #management
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Hypermagnesemia ... DrEricStrong #Hypermagnesemia ... High #Magnesium #Table ... #Causes #Management
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... long QT Syndrome Electrolyte ... Abnormalities: Hypomagnesemia ... 1b (lidocaine)- case ... TorsadesdePointes #TDP #Management
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Side Effects: Hypomagnesemia ... constipation, diarrhea, nausea ... Intestinal necrosis; electrolyte ... hypokalemia); nausea ... #pharmacology #table
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... monitoring. ❼ Treat electrolyte ... Guidelines for crises ... Ischemia #Ischaemia #Anesthesiology ... Checklist #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... as a possible cause ... as patient is stable ... #Anaphylaxis #Anesthesiology ... Checklist #Diagnosis #Management
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Diagnosis and Management ... nonexertional: • Electrolytes ... per day until stable ... Differential #Diagnosis #Management ... #Summary #causes