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diagnosis management differential endocarditis treatment anesthesia anesthesiology checklist clinical criticalcare evaluation foamed heartfailure icu infectiousdiseases intraoperative narrowcomplex palpitations perioperative pharmacology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... AMS, SOB from CHF ... ECG: Bad block? ... Connect ECG Leads ... differential #management #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... disease or CHF) ... Control rate (e.g ... Treatment #management #cardiology ... #algorithm
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Intraoperative Bradycardia ... Airway • Check position ... Breathing • Check chest ... known drug causes (eg ... Management #Workup #Cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... disease • Severe bradycardia ... #Palpitations #Cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology
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