Dextrose 2: pocus - GrepMed

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Algorithm for the Treatment of Severe Hypoglycemia

Step #1: IV dextrose bolus

Step #2: food (if

Step #1: IV dextrose ... bolus Step #2: ... possible) Step #3: dextrose

Pediatric Dextrose Administration in Hypoglycemia

#Dextrose #Hypoglycemia #Peds #Pediatrics #Formula #Pharmacology

Pediatric Dextrose ... Hypoglycemia #Dextrose

Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
- typically occurs with

increasing Na ~5mEq 2. ... - Tx with 5% Dextrose

Focus Assessed Transthoracic Echo (FATE) - Basic FATE views

Pos 1: Subcostal 4-chamber

Pos 2: Apical 4-chamber

Pos 3:

Focus Assessed Transthoracic ... -chamber Pos 2: ... Echocardiogram #POCUS

Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX
2. Zoom to

Measurement on POCUS ... Obtain PLAX 2. ... x π (LVOT Diam/2) ... 2 - Dr. ... #Measurement #POCUS

Hyperkalemia Treatment Options
Stabilize cardiac membrane:
• IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
• IV Fluids
Shift

• Insulin + dextrose

Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive):
- STRUCTURAL: sick sinus, AV block, ischemia,

albuterol, insulin, dextrose

Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give

stick (give IV dextrose ... o Lorazepam 2 ... or • Propofol 2 ... mg/kg IV at 2-5

Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular

minutes, lasts -2 ... Give 25 g dextrose ... minutes, lasts ~2

Echocardiogram and POCUS Cardiology Windows and Anatomy
• Parasternal Long Axis (PLAX)
• Subcostal 4 Chamber

Echocardiogram and POCUS ... A4C) • Apical 2 ... Echocardiogram #POCUS

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