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management diagnosis anesthesia anesthesiology checklist workup addiction algorithm cardiac initiation opiate prescribing acidosis anaphylaxis assessment bradycardia cardiology classification comparison cows
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table Some patients may decline buprenorphine
: Methadone vs Buprenorphine ... patients may decline buprenorphine ... medication assisted treatment ... In these cases, ... Use Treatment (
Buprenorphine Initiation for the Uninitiated 1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS - Precipitated withdrawal can be caused
Buprenorphine Initiation ... withdrawal can be caused ... by buprenorphine ... displacing a full opioid ... withdrawal symptoms: e.g
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... flattening or inversion ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Anesthesiology #Anesthesia #Intraoperative
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia #Intraoperative
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
in Anaesthesia Caused ... , e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... Anesthesiology #Anesthesia #Intraoperative
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Diuretics, Consider K-opoid ... SIADH — look for cause ... hourly • Identify Cause ... give specific treatment ... Management #algorithm #treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... source of energy, conversion ... perfusion - shock->treatments ... before beginning treatment
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Intraoperative ... remember to tailor treatment ... Consider known drug causes ... (eg. remifentanil ... Anesthesiology #Anesthesia #Intraoperative
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... Guidelines for Crises ... remember to tailor treatment ... obtain 12-lead ECG ... Anesthesiology #Anesthesia #Intraoperative
Clinical Opioid Withdrawal Score (COWS) Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... last ½ hour • 2 - nausea ... Support for Hospital Opioid ... Use Treatment ( ... Withdrawal #Scale #Buprenorphine
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