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diagnosis management treatment anesthesia anesthesiology intraoperative workup anaphylaxis bradyarrhythmia cardiomyopathy differential electrocardiogram evaluation hyperkalemia k morphology narrowcomplex nephrology perioperative peripartum
Algorithm for the Management of Ventricular Tachycardia Electrical Storm ES diagnosed (≥ 3 episodes of VT/ICD therapies
Algorithm for the ... cardioversion Stable ... of reversible causes ... #VTach #diagnosis ... management #morphology #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... #management #cardiology ... #algorithm
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... 1b (lidocaine)- case ... Stacy Marshall, MD ... #Polymorphic #VTach ... TDP #Management #Algorithm
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... , digoxin etc) ... Intraoperative #Checklist ... Management #Workup #Cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... or bradycardia ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
transfusions), ↓insulin (DM ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... Monitor for tachycardia
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... (e.g., ACE/ARB)
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Insulin dependent DM ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology
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