23 results
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
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
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... Primary/Concomitant Pericardial ... rightventricular #cardiology ... #management #treatment
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... injury, etc) ECG ... cardiac membrane Shift ... not quickly) #Hyperkalemia ... Treatment #Algorithm #Management
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... circumferential pericardial ... ventricular septal shift ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Large Pericardial ... Effusion on POCUS ... EKG from same patient ... electrical #alternans #POCUS ... A4C #Clinical #Cardiology
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
the Treatment of Hyperkalemia ... disturbances, shift ... , changes on ECG ... algorithm for the management ... #Management #Medications
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... flow in all major epicardial ... DCSI #Initiative #Management ... #Cardiology
Hyperkalemia Management
Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... • Order a STAT EKG ... stabilize heart if EKG ... minutes-hour) -Shift ... #Management #treatment