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management anesthesia anesthesiology intraoperative workup cardiology differential anaphylaxis bradyarrhythmia cardiac classification electrocardiogram hyperkalemia hypotension inotropes k nephrology pharmacology potassium stress
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
Approach to ECGs ... 60 (1) Sinus bradycardia ... 200ms from longer pause ... bradyarrhythmia #ECG ... #EKG #diagnosis
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
Bradyarrhythmias • Sinus bradycardia ... • Ventricular tachycardia ... Medication side effect (e.g ... Medication side effect (e.g ... Classification #Table
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 ... : EKG ($), ECHO
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... effects: Reflex bradycardia ... #table #pharmacology ... #criticalcare
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
system including valves ... and positioning (e.g ... (eg steroid dependency ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
system including valves ... Consider known drug causes ... (eg. remifentanil ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... or bradycardia ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... system including valves ... obtain 12-lead ECG ... Intraoperative #Checklist ... #Diagnosis #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... Monitor for tachycardia
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