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management neurology algorithm diagnosis treatment epilepticus pharmacology seizure convulsive differential dosing em nutrition abortive acep b12 cardiology cirrhosis clinical cobalamin
Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
Many authors state ... aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG
Status Epilepticus Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery First line
Status Epilepticus ... 4 mg IV (10 mg IM ... fosphenytoin 20 mg/kg ... then 0.5-10 mg/kg ... hr infusion #Status
Emergency Treatment Algorithm for Convulsive Status Epilepticus 1. ABCDEFG (ABC's and Don't Ever Forget the Glucose) 2. Airway:
for Convulsive Status ... Lorazepam 0.1 mg/kg ... Midazolam 10 mg IM ... medications in status ... #Convulsive #Status
Differential Diagnosis of Hypoglycemia Evaluation of Hypoglycemia Patients with known diabetes who are not systemically ill and can
patients, consider: - BMP ... blood cultures - ECG ... Diagnosis #EM #IM
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
of Convulsive Status ... Early Status Epilepticus ... OR • IM Midazolam ... ) Established Status ... Refractory Status
Emergency Treatment Algorithm for Convulsive Status Epilepticus 1. ABCDEFG (ABC's and Don't Ever Forget the
for Convulsive Status ... Lorazepam 0.1 mg/kg ... Midazolam 10 mg IM ... MEDICATION IN STATUS ... anesthetics #Status
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
w/ early shock state ... Altered Mental Status ... telemetry, 12-Lead EKG ... Anaphylactic >> IM
Management Algorithm for Status Epilepticus • Assess airway, breathing, and circulation • Pulse oximetry • Electrocardiogram • Finger stick (give
Algorithm for Status ... Phenytoin 20 mg/kg ... IM or IV at 150 ... acid 20-40 mg/kg ... IV at 1-5 mg/kg
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
CNS -> PNS -> NMJ ... Fatiguability - Consider NMJ ... toxins: Steroids, Statins ... cryoglobulins • PNS, NMJ ... electromyographic (EMG
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
dietary intake (e.g ... organ ischemia (e.g ... malabsorptive state ... , can consider IM ... other diagnosis e.g
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