56 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
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on ... EKG "Mild" Hyperkalemia ... counting of HR by EKG ... widening • Sinus bradycardia ... #cardiology #diagnosis
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Mnemonic • BRASH/Hyperkalemia ... BRASH Syndrome - Hyperkalemia ... Cardiac Disease ... syndrome • Post cardiac ... diagnosis #causes #cardiology
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
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
Syndrome B - Bradycardia ... S - Shock H - Hyperkalemia ... Typical ECG ... flattening of P waves (Bradycardia ... Syndrome #diagnosis #management
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... PR, wide QRS, bradycardia ... Calcium - Stabilizes cardiac ... membrane Shift ... Treatment #Algorithm #Management
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
Beta Blocker Side Effects / Toxicity
Cardiac Side Effects:
 • Sinus bradycardia, AV block, Heart failure exacerbation,
Effects / Toxicity Cardiac ... Effects: • Sinus bradycardia ... withdrawal syndrome (e.g ... risk of sudden cardiac ... Facilitation of hyperkalemia
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
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... hypertension, tachy- or bradycardia ... consultation with cardiology ... Anesthesiology #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management