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diagnosis management anesthesia anesthesiology intraoperative workup cardiology differential tamponade treatment criticalcare pericardial pocus complex foamed plax a4c acidosis amyloidosis anaphylaxis
Amyloidosis - Summary Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion ... LVH, low-voltage EKG ... Persistent pleural effusions ... Testing: • EKG ... • Echocardiogram
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... of blood, pus, effusion ... , e.g. central line ... pericardiocentesis kit (eg ... Intraoperative #Checklist
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... arrhythmia: - EKG ... their validity (e.g ... context & EKG) ... patients (including cardiac
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
• Medications (e.g ... • Alimentary (e.g ... (e.g. ... Renal Failure, Cardiac ... Hyperinsulinemic States (e.g
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
rate, rhythm, perfusion ... and positioning (e.g ... consider: o Cardiac ... (eg steroid dependency ... Intraoperative #Checklist
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... arrest where other causes ... alternate vasopressor (e.g ... an appropriate critical ... Intraoperative #Checklist
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... Drugs that prolong QT ... Congenital long QT ... 1b (lidocaine)- case ... TDP #Management #Algorithm
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
mmol/L - Consider cause ... Treatment guided by clinical ... scenario, ECG and ... Insulin–Glucose IV Infusion ... Hyperkalemia #management #algorithm
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... - Cardiac arrest ... failure - Low cardiac
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C Pt sent to ED c intradialytic hypotension.
Tamponade on POCUS Echocardiogram ... K 5.9 without EKG ... consider serious causes ... #Cardiac #Tamponade ... #A4C #clinical
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