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cardiology differential checklist workup algorithm neurology shock summary anesthesia anesthesiology atrial bradycardia gravis heartfailure intraoperative lung myasthenia myocarditis syndrome abscess
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
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... disease or CHF) ... Control rate (e.g ... #Treatment #management
Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
CT scan, if suspect ... if suspected (e.g ... block (+/- daily EKG ... of infection (e.g ... #diagnosis #management
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... intolerance • Chest ... Unexplained sinus tachycardia ... gallop • Abnormal ECG ... #Management #Cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg ... #criticalcare # ... #management
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 ... #bradycardia #diagnosis
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF
Massive Hemoptysis - Diagnosis and Management • Definitions: - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... respiratory tract (e.g ... #Management #treatment ... #workup #pulmonary ... #criticalcare
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
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... be detected on CT ... objective assessment“ (e.g ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
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