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diagnosis management anesthesiology cardiology checklist intraoperative pharmacology workup acidosis anaphylaxis cardiac classification criticalcare differential effect elevation hyperkalemia k lactate lactic
Vasopressors Table Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Receptor, Heart Rate/Inotropy ... Resistance, Main Uses ... Effect #Management #Comparison ... #Inotropes
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Common Vasopressors ... and Inotropes Norepinephrine ... effects: Reflex bradycardia ... #Inotropes #comparison ... #table #pharmacology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
• They must be able ... 85% of predicted value ... production to cause ... Contraindications: - Bradycardia ... and asthma • Inotropes
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... remember to tailor treatment ... system including valves ... Consider known drug causes ... (eg. remifentanil
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... give alternate vasopressor ... (e.g. metaraminol ... as patient is stable ... Anesthesiology #Anesthesia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
palpitations, bradycardia ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... concurrent need for vasopressor
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
to bolus these values ... perfusion - shock->treatments ... administration, vasopressors ... , or inotropes ... before beginning treatment
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