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diagnosis management cardiology differential anesthesia anesthesiology checklist criticalcare intraoperative algorithm cardiomyopathy electrocardiogram elevation peripartum renal acidosis acutepe anaphylaxis atrial bradycardia
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... EKG is helpful in ... evaluating for other causes ... Drive: • Sinus Tachycardia ... #EKG #Pulmonary
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... #cardiology #algorithm
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Diagnosis #Management #Workup
Massive Hemoptysis - Diagnosis and Management • Definitions: - Hemoptysis = bleeding from
respiratory tract (e.g ... has potential to cause ... • Workup • General ... Diagnosis #Management #treatment ... #workup #pulmonary
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
shock state) • Tachycardia ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... #criticalcare #treatment ... #workup
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... heart disease Causes ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... • Bradycardia caused ... Valvular disease (e.g ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
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 ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... trolley, anaphylaxis treatment ... require prolonged treatment ... alternate vasopressor (e.g ... Diagnosis #Management #Workup
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