55 results
Instructions for the Modified Valsalva Maneuver for Treatment of Supraventricular Tachycardia (SVT)

1) In a semi-recumbent position,
Instructions for the Modified ... have the patient blow ... cardioversion in Modified ... 15)61485-4 #Modified ... #Instructions #Procedure
Modified Valsalva Maneuver Insturctions

- 43% vs 17% response compared to the standard valsalva maneuver

Per ACLS and
Modified Valsalva ... when using the “modified ... then have him blow ... #Management #Modified ... Instructions #Protocol #Procedure
Modified Valsalva Maneuver

43% vs 17% response compared to the standard valsalva maneuver

1) Position patient with legs
Modified Valsalva ... to the standard valsalva ... patient attempt to blow ... time trying the Modified ... julesantosER #Modified
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... Primary polydipsia, Low ... #Hyponatremia #Algorithm ... diagnosis #sodium #nephrology
Modified Valsalva Maneuver

1) Position patient with legs flat and head of bed to 45°
2) Have patient
Modified Valsalva ... patient attempt to blow ... 10ml syringe (or Valsalva ... if needed #Modified ... clinical #video #procedure
Supraventricular Tachycardia (SVT) - Differential Diagnosis Framework and Management

Regular SVT: Sinus Tachycardia, AVNRT, AVRT, Atrial Flutter,
MANAGEMENT: Modified ... Valsalva Maneuver ... Ask patient to blow
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... - Urine sodium low ... and uric acid low ... #Differential #Algorithm ... #Diagnosis #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Uric Acid - Low ... Differential #Diagnosis #Algorithm ... #nephrology #sodium ... #low #uricacid
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia Diagnostic Algorithm ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Normal Acid-Base: Low ... Differential #Diagnosis #Algorithm ... causes #potassium #low ... #nephrology