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diagnosis anesthesia anesthesiology intraoperative workup cardiac anaphylaxis bradyarrhythmia cooling differential diuresis diuretics ekg electrocardiogram excretion hyperkalemia ischaemia ischemia k neuroprotection
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
60 (1) Sinus bradycardia ... (4) SA node arrest ... 200ms from longer pause ... #Tachycardia #Bradycardia ... electrocardiogram #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... Call for cardiac arrest ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug causes ... , digoxin etc) ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• They must be able ... production to cause ... Contraindications: - Bradycardia ... Stress #Testing #cardiology ... #management #diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... Treatment #potassium #nephrology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... ❾ Plan further management ... Intraoperative #Checklist ... #Diagnosis #Management
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... Kidney stones caused ... Bleeding • Cardiac arrest ... #Pharmacology #Medications ... #Table
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