23 results
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Emergency Management ... clinical scenario, ECG ... Gluconate IV Shift ... Insulin–Glucose IV Infusion ... #management #algorithm
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Treatment Algorithm ECG ... injury, etc) ECG ... Calcium - Stabilizes cardiac ... membrane Shift ... Treatment #Algorithm #Management
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Hypomagnesemia • Hypokalemia ... : 1-1.5 mg/kg ... • Infusion: I mg ... TorsadesdePointes #TDP #Management
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
Hypokinesis on POCUS ... EKG unremarkable ... = best management ... This was her EKG ... clinical #cardiology #PSAX
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... Echocardiogram - PLAX ... K 5.9 without EKG ... #Cardiac #Tamponade ... #PLAX #clinical
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... EKG • Ensure ... dilated IVC - Cardiac ... Cardiac surgery?
Tamponade is paradoxical RV collapse during diastole. Sometimes it’s hard to tell if that’s happening by
better obviate the cardiac ... cycle (in lieu of ECG ... #Tamponade #PLAX ... Echocardiogram #POCUS ... #Pericardial #Effusion
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
lethargy, hematuria, cardiac ... hydration - Hyperkalemia ... unless worrisome EKG ... with tetany or cardiac ... TLS #diagnosis #management
A wandering atrial pacemaker, (WAP), is an atrial arrhythmia that occurs when the natural cardiac pacemaker
when the natural cardiac ... pacemaker site shifts ... identifiable on ECG ... #Clinical #MedStudent ... #EKG #WAP #WanderingAtrialPacemaker
Hyperkalemia Management
Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... • Order a STAT EKG ... to assess cardiac ... stabilize heart if EKG ... minutes-hour) -Shift