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management diagnosis neurology treatment causes differential intercellularshift status syndrome antiepileptics drugs encephalopathy firsttime hematology high initiation k kdigo leukostasis lysis
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
• Give high flow ... infusion of 2 mcg ... maximum of 24 mcg ... #neurology #pediatrics ... #peds #algorithm
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
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... EABV (e.g., CHF ... • NSAlDs #Hyperkalemia ... IntercellularShift #Nephrology
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure? SHINE Mnemonic: • first seizure occurred
you start Anti-Epileptic ... on a first time seizure ... abnormalities on EEG ... Initiation #start #Algorithm ... #Neurology #SHINE
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... acidosis) • Low ... Slow - don’t delay ... Management #Treatment #potassium ... #nephrology #K
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
: - Neuro: AMS ... dysrhythmias, seizures ... , Elevated Cr, Low ... hydration - Hyperkalemia ... unless worrisome EKG
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Headache • Seizures ... Blood transfusion, Hypercalcemia ... • EEG: With persistent ... nonconvulsive status epilepticus ... diagnosis #management #neurology
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
Protocol 1st line (seizures ... -30 mins) - If seizures ... over 5 min (need EKG ... Treatment #Protocol #algorithm ... #neurology #management
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... , TTKG, distal flow ... • Cell Lysis (e.g ... IntercellularShift #Nephrology
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