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management diagnosis cardiology algorithm differential pharmacology workup anesthesia checklist intraoperative causes clinical comparison foamed hyperkalemia inotropes nephrology shock stable summary
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... (1) Sinus tachycardia ... 60 (1) Sinus bradycardia ... #Bradycardia #tachyarrhythmia ... bradyarrhythmia #ECG
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 ... #Treatment #management
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... Wide-Complex Tachycardia ... nodal agents (e.g ... irregular protocol #Stable ... #Treatment #management
Vasopressors and Inotropes • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
), Symptomatic bradycardia ... of shock, HOCM, etc ... - Symptomatic bradycardia ... Inotropes #management #criticalcare ... summary #comparison #table
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Bradyarrhythmias • Sinus bradycardia ... • Ventricular tachycardia ... Medication side effect (e.g ... Medication side effect (e.g ... Classification #Table
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia Treatment ... Algorithm ECG ... crush injury, etc ... ) ECG changes ... PR, wide QRS, bradycardia
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Intraoperative Bradycardia ... remember to tailor treatment ... known drug causes (eg ... remifentanil, digoxin etc ... #Anesthesiology
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
: HR > 180bpm ECG ... Monitors, Pads AP Stable ... supraventricular #tachycardia ... peds #Pediatric #treatment
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... effects: Reflex bradycardia ... Inotropes #comparison #table ... #pharmacology #criticalcare
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... : Rate/Rhythm (bradycardia ... , myocarditis, etc ... BRASH syndrome etc ... guyton #curves #criticalcare
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