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differential workup anesthesia anesthesiology intraoperative algorithm nephrology potassium hypercalcemia neurology criticalcare gastroenterology hematology syndrome achalasia blood bradycardia cardiac cardiology crisis
ECG Changes in Hyperkalemia and Treatment Membrane Stabilization - Calcium gluconate or chloride Redistribution - Insulin
ECG Changes in Hyperkalemia ... and Treatment ... Stabilization - Calcium ... #Treatment #Management ... #Diagnosis #ECG
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
Emergency Management ... mmol/L - Consider cause ... clinical scenario, ECG ... Gluconate IV Shift ... #management #algorithm
Causes of Hypercalcemia Hypercalcemia due to increased bone Ca2+ resorption: • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Causes of Hypercalcemia ... histoplasmosis) • Milk (calcium ... #Causes #differential ... #diagnosis #calcium ... #high #endocrinology
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Algorithm • IV calcium ... potassium and ECG ... #potassium #high ... #diagnosis #management
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis ... Elevated PTH (High ... Bony Mets - Calcium ... #Algorithm #causes ... #endocrinology
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
Bradycardia Diagnostic ... and Management ... LIFE THREATENING CAUSES ... & TREATMENT - ... Electrolytes (hyperkalemia
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Hyperkalemia Management ... • Treat the cause ... • Reconsider treatment ... Intracellular K+ Shift ... #high
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... ECG changes, weakness ... AV blocks) -> Calcium ... cardiac membrane Shift ... #Management
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
WBC count cause ... hydration - Hyperkalemia ... treatment (no calcium ... Syndrome #TLS #diagnosis ... #management #hematology
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
1) Clinical clues ... PTH - Frankly high ... #differential #diagnosis ... #endocrinology ... #calcium #elevated
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