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diagnosis management differential anesthesia anesthesiology intraoperative cardiology treatment electrocardiogram anaphylaxis bradyarrhythmia cardiac cardiacarrest changes classification complexes ddi drugdrug elevation embolism
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... 60 (1) Sinus bradycardia ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia. - At
Hyperkalemia shortens ... repolarization causes ... prolonged PR and QT ... #EKG #ECG #Changes ... #Progression #Table
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
• Ventricular tachycardia ... Medication side effect (e.g ... Medication side effect (e.g ... Classification #Table ... #Causes
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... ECG changes, weakness ... ) ECG changes ... PR, wide QRS, bradycardia
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 ... Treat underlying cause ... management #cardiology #algorithm
Intrapartum Abnormal Fetal HR Tracing - Causes of Bradycardia and Tachycardia - Differential Diagnosis Algorithm Maternal Bradycardia:
Fetal HR Tracing - Causes ... Differential Diagnosis Algorithm ... congenital heart block (e.g ... Vagal stimulation (e.g ... #Causes #Obstetrics
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 Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Intraoperative #Checklist
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
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