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diagnosis cardiology management differential clinical algorithm checklist echocardiogram ekg pericardial electrocardiogram pocus treatment workup anesthesia anesthesiology intraoperative pulmonary alternans causes
Push Dose Pressors - Mixing Instructions. EPINEPHRINE Has alpha and beta 1/2 effects so it is an inopressor Do
amp (Cardiac amp ... Epinephrine 10 mcg ... minutes (5-20 mcg ... increases in coronary perfusion ... #Pharmacology #CriticalCare
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
Hemorrhagic Pericardial Effusions ... Secondary to invasive cardiac ... • Malignancy (e.g ... CAUSES • PRIMARY Cardiac ... Differential #Diagnosis #cardiology
Accelerated Idioventricular Rhythm (AIVR) on EKG • Regular rhythm with wide. • QRS complexes >120
Rhythm (AIVR) on EKG ... complexes >120 ms ... • Capture and fusion ... AIVR #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram
Mixing instructions for epinephrine - a "dirty epi drip" - Inject 1 mg of epinephrine into
entire syringe of cardiac ... patient with 20 ml ... a bolus of 20 mcg ... #Instructions #CriticalCare
Clinical Management for Three Common Causes of Shock HEMORRHAGIC SHOCK • Ensure adequate ventilation and oxygenation.
when possible (eg ... (5—10 mL/kg) ... dysrhythmias (eg ... reverse the insult (eg ... Shock #Management #CriticalCare
Intra-Aortic Balloon Pump (IABP) Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... coronary artery perfusion ... • Triggers (EKG ... diagnosis #management #cardiology ... #criticalcare
Cardiac Findings in Sarcoidosis Most Commonly Affected Sites: - LV free wall (esp. basal posterior wall) -
Cardiac Findings ... involvement: - Effusion ... ECG Abnormalities ... Abnormal a-wave #Cardiac ... #Sarcoidosis #Cardiology
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Pseudo-acute coronary syndrome ... , Cardiac failure ... Recent flu-like syndrome ... Paraclinical assessment: EKG ... Diagnosis #Causes #cardiology
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Cardiogenic (Intra-cardiac ... → tension PTX, cardiac ... anaphylaxis, release syndrome ... , infusion reactions ... table #comparison #criticalcare
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Congenital long QT Syndrome ... minutes • Adult infusion ... • Adult: 0.5-5 mcg ... Pediatric: 0.1-1 mcg ... 1.5 mg/kg • Infusion
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