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diagnosis management causes differential criticalcare cva emesis hematology hypokalemia intercellularshift kdigo leukostasis lysis nausea neurology perioperative potassium preop preoperative risk
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... - Myocardial ischemia ... pomagnesemia Evaluation ... their validity (e.g ... clinical context & EKG
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
A) Initial Evaluation ... Cardioembolic: • ECG ... • TTE +/- TEE (high ... workup #diagnosis #checklist ... #neurology
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment algorithm ... management of acute hyperkalemia ... monitor 12-lead ECG ... treatment #potassium #high ... #nephrology #KDIGO
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... : - Neuro: AMS ... AKI, acute limb ischemia ... hydration - Hyperkalemia ... unless worrisome EKG
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... • Low EABV (e.g ... • NSAlDs #Hyperkalemia ... IntercellularShift #Nephrology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... history of: a) Ischemic ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if:
Nausea and Vomiting - Differential Diagnosis Algorithm Upper Gastrointestinal - Acute • Infectious Gastroenteritis • Gastric/Duodenal Obstruction
Differential Diagnosis Algorithm ... • Mesenteric Ischemia ... • Uremia • Hypercalcemia ... Other • sepsis (e.g ... • Nicotine High
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