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management diagnosis cardiology clinical echocardiogram pericardial checklist electrical algorithm alternans malignant a4c cardiac differential icu pharmacology plax tamponade treatment workup
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
Originates from single focus ... that prolong the QT ... Diagnosis #Cardiology #ECG ... #EKG
Electrical Alternans on POCUS Echocardiogram You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans on POCUS ... You dissect the EKG ... POCUS ECHO performed ... Electrical #Alternans #POCUS ... Echocardiogram #clinical #effusion
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 Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
when possible (eg ... of poor organ perfusion ... dysrhythmias (eg ... reverse the insult (eg ... Shock #Management #CriticalCare
Priority-based management algorithm for the undifferentiated patient in PEA arrest PEA (no pulse by manual palp +
Cardiac POCUS 3 ... A-line placement - POCUS ... Start vasopressor infusion ... activity #management #criticalcare
Weaning from the Ventilator - Algorithm Setting up for extubation success • Decrease demand — correct metabolic
, overfeeding, etc ... draining pleural effusions ... Algorithm #Extubation #CriticalCare
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... has pericardial effusion ... with similar peri effusion ... Septal bounce, etc ... Pericarditis #CP #POCUS
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 Intra-Aortic Balloon Pump (IABP) Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
increases coronary perfusion ... coronary artery perfusion ... • Triggers (EKG ... management #cardiology #criticalcare
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia. - At
prolonged PR and QT ... sine wave (QRS-T fusion ... #Hyperkalemia #EKG ... #ECG #Changes #
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Drugs that prolong QT ... Congenital long QT ... • Adult: 0.5-5 mcg ... Pediatric: 0.1-1 mcg ... 1.5 mg/kg • Infusion
Push Dose Pressors - Mixing Instructions. EPINEPHRINE Has alpha and beta 1/2 effects so it is an inopressor Do
Epinephrine 100 mcg ... Epinephrine 10 mcg ... minutes (5-20 mcg ... increases in coronary perfusion ... #Pharmacology #CriticalCare
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