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diagnosis workup anesthesia anesthesiology intraoperative cardiology criticalcare algorithm chf differential heartfailure shock syndrome anaphylaxis bradycardia brash cardiacglycoside cardiogenic clinical complexes
BRASH Syndrome B - Bradycardia R - Renal failure A - AV nodal blockade S - Shock H - Hyperkalemia Typical ECG
Typical ECG ... ) BRASH Treatment ... • Aggressive treatment ... ß blocker, or digoxin ... Syndrome #diagnosis #management
The chemical formula of Digoxin is C41 H64 O14. Digoxin (Cardiac glycoside) reversibly inhibits the sodium-potassium-ATPase, causing
Digoxin (Cardiac ... Cardiac glycosides ... often the first sign ... effect" on the ECG ... the successful treatment
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... prolongation) - Digoxin ... patients (including cardiac ... Critical Care #Checklist ... #Hypokalemia #Management
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... ECG changes, weakness ... (peaked T waves, ... Calcium - Stabilizes cardiac ... #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... Calcineurin inhibitors, Digoxin ... heparinized tube) • ECG ... bradycardia → sine wave ... line, stabilizes cardiac
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... - TSH and/or digoxin ... (no B-lines on ultrasound ... Revascularization, treatment
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... depression • T wave ... CM5 continuous ECG ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
thoracotomy is a better treatment ... examination and vital signs ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
WBC >100k, + lab signs ... hydration - Hyperkalemia ... unless worrisome EKG ... with tetany or cardiac ... TLS #diagnosis #management
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... Hypomagnesemia • Hypokalemia ... Substances • Digoxin ... , and the T-wave ... more intensive treatment
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