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management cardiology diagnosis differential medications nephrology antihypertensive bloodpressure causes chf clinical complexes contraindications criticalcare heartfailure icu k narrowcomplex pediatric peds
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
: HR > 180bpm ECG ... Monitors, Pads AP Stable ... 0.2 mg/kg Unstable ... supraventricular #tachycardia ... peds #Pediatric #treatment
Compelling and Possible Contraindications to Antihypertensive Drugs Diuretics (thiazides) - Gout - Metabolic syndrome, Glucose intolerance, Pregnancy,
- Metabolic syndrome ... dihydropyridines) - Tachycardia ... Pgp-dependent drugs (e.g ... - Metabolic syndrome ... contraindications #table
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 ... underlying cause #Stable ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... #Treatment #management ... #cardiology #algorithm
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... Syndrome Electrolyte ... Hypomagnesemia • Hypokalemia ... Hypocalcemia (rarely) Treatment ... #Polymorphic #VTach
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Compartment syndrome ... Herpes, Coxsackie, etc ... - Fever - Tachycardia ... or compartment syndrome ... per day until stable
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
(e.g., long QT ... syndrome, ARVC) ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... more intensive treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... Elimination (see Table ... Redistribution Treatments ... Terbutaline 7 µg/kg ... Monitor for tachycardia
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
goals of acute treatment ... , changes on ECG ... Figure 3 is an algorithm ... , and Table 3 summarizes ... #Treatment
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 It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... & Dry) is the treatment ... acute coronary syndrome ... #differential #algorithm ... #table #foamed
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