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diagnosis management cardiology differential hyperkalemia pharmacology ventricular anaphylaxis anesthesia anesthesiology bradyarrhythmia cardiomyopathy changes checklist chf classification clinical complexes criticalcare ddi
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
: HR > 180bpm ECG ... AP Stable? ... 0.2 mg/kg Unstable ... supraventricular #tachycardia ... #treatment
Algorithm for the Management of Ventricular Tachycardia Electrical Storm ES diagnosed (≥ 3 episodes of VT/ICD therapies
Algorithm for the ... of Ventricular Tachycardia ... cardioversion Stable ... of reversible causes ... #VTach #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
w/ BBB (3) SVT ... 60 (1) Sinus bradycardia ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... cardioversion • If known SVT ... nodal agents (e.g ... irregular protocol #Stable ... #cardiology #algorithm
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 ... #Stable #NarrowComplex ... #Tachycardia #Treatment
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Bradyarrhythmias • Sinus bradycardia ... • Ventricular tachycardia ... Medication side effect (e.g ... Medication side effect (e.g ... Classification #Table
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia. - At
prolonged PR and QT ... diminished and ST ... #Hyperkalemia #EKG ... #ECG #Changes # ... Progression #Table
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Recurrent Polymorphic VT ... Pointes - Management Algorithm ... Hypocalcemia (rarely) Treatment ... 1b (lidocaine)- case ... #Polymorphic #VTach
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... ., long QT syndrome ... heart disease Causes ... EKG Findings ... more intensive treatment
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products Angiotensin-Converting Enzyme Inhibitors (ACEIs) • Night-blooming
hypotension and bradycardia ... hypertension and tachycardia ... hypotension, and bradycardia ... vera, Licorice - Causes ... pharmacology #DDI #table
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