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workup anesthesia anesthesiology treatment criticalcare intraoperative differential cardiology causes neurology syndrome cardiac crisis hyperthermia nephrology perioperative pharmacology progression signs symptoms
Torsades de Pointes •Precipitated by drugs that prolong the QT interval •Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... hypomagnesemia, hypokalemia ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
that prolong the QT ... Hypomagnesemia Hypokalemia ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... their validity (e.g ... incongruous with clinical ... context & EKG) ... #Hypokalemia #Management
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia. - At
Hyperkalemia shortens ... prolonged PR and QT ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #criticalcare #diagnosis
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
- Checklist VITALS ... hyponatremia, AKI, etc ... esp in work-up/management ... will also get an EKG ... #diagnosis #workup
Pancreatitis management checklist Evaluation to guide etiology & management - RUQ ultrasound - Calcium
checklist Evaluation ... septic shock (e.g ... resuscitation (e.g ... choledolithiasis (e.g ... #Diagnosis #Management
Management of Jehovah's Witness patient in ICU Clarify which products may be used - Discuss
Management of Jehovah's ... Witness patient in ICU ... early & document (e.g ... hemostatic agents (e.g ... twitter.com/PulmCrit #Checklist
In general, we expand antibiotics too soon in cellulitis, as clinical response (e.g. reduction in edema/erythema,
cellulitis, as clinical ... response (e.g. ... source control (e.g ... (e.g. venous stasis ... #EBM #ID #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... and Management ... heparinized tube) • ECG ... Elimination (see Table ... #Diagnosis #Management
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