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cardiology criticalcare clinical foamed workup anaphylaxis anesthesia anesthesiology atrial b12 cardiac cardiomyopathy checklist chf cobalamin deficiency differential ecgeducator echocardiogram epilepticus
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial Tachycardia ... • Oxygen • Treatment ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... 4 - ECG becomes ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology ... #EKG #Pericarditis
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
: HR > 180bpm ECG ... 0.2 mg/kg Unstable ... supraventricular #tachycardia ... #Management #Algorithm ... peds #Pediatric #treatment
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... #Treatment #management ... #cardiology #algorithm
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• They must be able ... : EKG ($), ECHO ... MRI ($$$$) CORE IM ... Stress #Testing #cardiology ... #management #diagnosis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
w/ early shock state ... ) • Tachycardia ... telemetry, 12-Lead EKG ... Anaphylactic >> IM ... #criticalcare #treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... heparinized tube) • ECG ... Elimination (see Table ... Monitor for tachycardia ... #Management #Treatment
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
dietary intake (e.g ... organ ischemia (e.g ... malabsorptive state ... , can consider IM ... e.g. leukemia
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
sweating, and tachycardia ... leukocytosis, psychiatric ... (hypertension, tachycardia ... procedures (eg, ... #Management #treatment
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