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diagnosis anesthesia anesthesiology checklist workup intraoperative treatment classification criticalcare algorithm cardiac neurology overview perioperative pharmacology shock tachycardia abscess airway aortic
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... #diagnosis #differential ... #management #cardiology
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Shock - Differential ... Bradyarrhythmias • Sinus bradycardia ... Medication side effect (e.g ... Medication side effect (e.g ... Classification #Table
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
production to cause ... Contraindications: - Bradycardia ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology ... #management #diagnosis
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Risk of reflex bradycardia ... • Higher doses cause ... • 1st agent in anaphylaxis ... cAMP/cGMP • Causes ... Pharmacology #Summary #management
Hypermagnesemia - Etiologies by Mechanism Renal Failure Excessive Mg Administration - Massive PO intake
IV Mg infusion (e.g ... Hypermagnesemia #Differential ... High #Magnesium #Table ... #Causes #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... Allergic reaction / anaphylaxis ... malignant syndrome (e.g ... #Hyperthermia #Differential
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... tachycardia or bradycardia ... alternate vasopressor (e.g ... as patient is stable ... Checklist #Diagnosis #Management
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... Physiological causes ... (e.g. athletes, ... #Differential # ... Diagnosis #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
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