55 results
Progressive ECG changes with increasing 
hyperkalaemia. 
 (a) Normal 
 (b) Tented T wave (arrow)
Progressive ECG ... with increasing hyperkalaemia ... ' pattern (pre-cardiac ... #Diagnosis #Cardiology ... #EKG #ECG #Hyperkalemia
Evaluation and Management of Hyperkalemia

As with hypokalemia, the immediate danger of hyperkalemia is its effect on
Evaluation and Management ... of Hyperkalemia ... As with hypokalemia ... its effect on cardiac ... efforts should focus
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Emergency Management ... of Hyperkalemia ... clinical scenario, ECG ... Gluconate IV Shift ... #management #algorithm
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... Options Stabilize cardiac ... • IV Fluids Shift ... LouLectures #Hyperkalemia ... #management #potassium
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... specificity for EKG ... other causes of cardio-pulmonary ... Wave in V1 • Shift ... AcutePE #diagnosis #cardiology
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
Originates from single focus ... Hypomagnesemia Hypokalemia ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... potassium and ECG ... blocks, QRS axis shift ... , asystole #hyperkalemia ... high #diagnosis #management
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Calcium - Stabilizes cardiac ... membrane Shift ... not quickly) #Hyperkalemia ... Treatment #Algorithm #Management
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Diagnosis and Management ... Hypoperfusion from Cardiac ... Diagnostic Studies • POCUS ... Management: • ... #cardiology
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... arrhythmia: - EKG ... clinical context & EKG ... patients (including cardiac ... #Management #CriticalCare