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diagnosis treatment anesthesia anesthesiology cardiac cardiomyopathy differential evaluation fibrillation hyperkalemia intraoperative ischaemia k narrowcomplex nephrology perioperative peripartum potassium preop preoperative
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... Decompensated HF ... • New ischemia ... #Fibrillation #Cardiology ... #Management #Algorithm
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... AMS, SOB from CHF ... Ischemia? ... #differential #management ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
pulmonary disease or CHF ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... - ↓ Effective arterial ... Na delivery): CHF ... only if no clear cause ... ileus/obstruction (ischemia
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology ... medical and surgical management
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... May have typical HF ... teratogenic GDMT meds ... Serial TTE and close ... #cardiology #treatment
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