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diagnosis management anesthesiology checklist intraoperative cardiology differential hyperkalemia treatment anaphylaxis bradycardia changes evacuation evaluation hypotension hypoxia increased narrowcomplex nephrology patient
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia. - At
in conduction causes ... prolonged PR and QT ... #Hyperkalemia #EKG ... #ECG #Changes # ... Progression #Table
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... (eg steroid dependency ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Guidelines for Crises ... Tachycardia in theatre ... obtain 12-lead ECG ... Diagnosis #Management #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
in Anaesthesia ... If circulation unstable ... blood gas, 12-lead ECG ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
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 ... management #cardiology #algorithm
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
Desaturation / Cyanosis ... If circulation unstable ... blood gas, 12-lead ECG ... #Hypoxia #Cyanosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... • Maintain the airway ... alternate vasopressor (e.g ... as patient is stable ... Anesthesiology #Anesthesia
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... , digoxin etc) ... Anesthesiology #Anesthesia ... Diagnosis #Management #Workup
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
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
functional status - Able ... metabolic equivalent able ... indicated • EKG ... Obtain EKG if: ... Stable patients
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