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diagnosis cardiology management anesthesia checklist workup intraoperative algorithm causes clinical electrocardiogram endocarditis ischemia pulmonary tachycardia tamponade acidosis anaphylaxis arrest becks
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
Electrocardiogram (EKG ... Digoxin is a cardiac ... Digoxin effect on ECG ... Electrocardiogram #EKG ... #ECG
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... #differential
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... flutter, ectopic ... Control rate (e.g ... flutter or MAT ... Control rate (e.g
Pericardial Tamponade Beck's Triad 1. Hypotension 2. Jugular venous distension 3. Muffled heart sounds Patient will be
Tamponade Beck's Triad ... paradoxus - ECG ... collapse of RV - Treatment ... #Pericardial #Cardiac ... #Diagnosis #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Consider invasive arterial ... Ischemia #Ischaemia #Anesthesiology
Mesenteric Ischemia - Differential Diagnostic Schema Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA) Acute - Venous
Mesenteric Ischemia - Differential ... inflammation (e.g ... pancreatitis) - Arterial ... Thrombus / Embolism: Cardiac ... hypovolemia), Meds/Treatments
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... flutter, or atrial ... fibrillation/flutter ... Valvular disease (e.g
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... 300 = NSVT EKG ... more intensive treatment ... #cardiology
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 ... #Causes #Anesthesiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... indicated, start CPR ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... #Tamponade #Anesthesiology
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