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diagnosis checklist anesthesia anesthesiology intraoperative treatment criticalcare differential hyperkalemia icu admissions admitting anaphylaxis arrest bradycardic cad cardiogenic cardiomyopathy chf clinical
Overall schema for resuscitation of the bradycardic periarresting patient A patient with bradycardic periarrest may be rescued
medical therapy (e.g ... electrical therapy (e.g ... therapies will work ... #Management #Bradycardia ... #Algorithm #Epinephrine
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... #differential #management ... #cardiology
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
misdiagnosed) - Sudden cardiac ... **Get baseline EKG ... meds Why? ... post-arrest or very long QTc ... Syndrome #Diagnosis #Cardiology
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
ECG changes, weakness ... ) ECG changes ... PR, wide QRS, bradycardia ... Calcium - Stabilizes cardiac ... #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... #Workup
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... Contraindications: - Bradycardia ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Intraoperative Bradycardia ... known drug causes (eg ... remifentanil, digoxin etc ... Checklist #Diagnosis #Management ... #Workup #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
palpitations, bradycardia ... reabsorption) Workup ... heparinized tube) • ECG ... QRS intervals, bradycardia ... line, stabilizes cardiac
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... failure, esp in work-up ... /management of shock ... history Initial Work-up ... will also get an EKG
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