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diagnosis management anesthesia anesthesiology checklist differential cardiology intraoperative nephrology bradycardia complexes hypertension hyperthermia indications k narrowcomplex perioperative person polymorphic potassium
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Tachycardia #Treatment ... management #cardiology #algorithm
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... Allergic reaction / anaphylaxis ... malignant syndrome (e.g
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... Monitor for tachycardia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... treatment pack ... alternate vasopressor (e.g ... as patient is stable ... Diagnosis #Management #Workup
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... with previously stable ... risk factors (eg ... hypertension (eg ... hypertension (eg
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Herpes, Coxsackie, etc ... - Fever - Tachycardia ... per day until stable ... #treatment #nephrology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... ., long QT syndrome ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... more intensive treatment
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... Hypomagnesemia • Hypokalemia ... Hypocalcemia (rarely) Treatment ... 1b (lidocaine)- case ... TDP #Management #Algorithm
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... Diagnosis #Management #Workup
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
unit activity on EMG ... of diazepam • EMG ... antibody that works ... EMG Studies: ... #neurology
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