20 results
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Emergency Management ... mmol/L - Consider cause ... clinical scenario, ECG ... Insulin–Glucose IV Infusion ... #management #algorithm
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... prolonged PR and QT ... sine wave (QRS-T fusion ... #EKG #ECG #Changes ... #Progression #Table
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
Excessive IV Mg infusion ... (e.g. eclampsia ... Hypermagnesemia #Differential ... High #Magnesium #Table ... #Causes #Management
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Framework and Management ... Summary Causes ... Herpes, Coxsackie, etc ... #causes #treatment
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Hypomagnesemia • Hypokalemia ... Hypocalcemia (rarely) Treatment ... 1b (lidocaine)- case ... TorsadesdePointes #TDP #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... diuretics, Saline infusion ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Rhabdomyolysis - Differential ... Diagnosis and Management ... Dialysis for severe hyperkalemia ... #Summary #causes ... #treatment
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... heart disease Causes ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... more intensive treatment
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... Lung Abscess Differential ... • Vasculitis (e.g ... Abscess #pulmonary #differential ... #causes #management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... - shock->treatments