11 results
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
• Give high flow ... • IV Valproic acid ... : 8 mg) over 2-3 ... #Management #neurology ... pediatrics #peds #algorithm
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... - Hyperosmolar states ... K supplement 3. ... differential #diagnosis #causes ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... - Hyperosmolar states ... K supplement 3. ... differential #diagnosis #causes ... #nephrology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
for Status Epilepticus ... or • Valproic acid ... 20-40 mg/kg at 3- ... #Neurology #pharmacology ... #dosing #seizure
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
Treatment of Ongoing Seizure ... Phenytoin - May cause ... dose - Valproic acid ... #Medications #Neurology ... #Pharmacology #Dosing
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... 3. ... Alkalosis Step 3 ... acetaminophen dosing ... ABG #bloodgas #Acid
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
sedation • During ... adequate sedation 3. ... Manage ICP and Seizures ... and via lactic acid ... Pathophysiology #neurology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
uric acid, high ... rasburicase if uric acid ... Treat underlying cause ... plasmapheresis Hypercalcemia ... consciousness, seizures
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
derangements (hyperkalemia ... , hypercalcemia, ... altered mental status ... Intermittent HD): 3- ... High clearance achieved
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Protocol 1st line (seizures ... 1) Valproic acid ... 100mg/min) 3) ... Treatment #Protocol #algorithm ... #neurology #management