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management diagnosis anesthesia anesthesiology intraoperative treatment algorithm high nephrology cardiology differential digoxin hypokalemia pharmacology anaphylaxis arrest blood bradycardia cardiacarrest cardiacglycoside
Typical ECG changes associated with hyperkalemia. → Peaked T wave → Wide PR interval, Wide QRS duration,
associated with hyperkalemia ... closely with serum potassium ... cardiac arrest ... #hyperkalemia #ECG ... electrocardiogram #potassium
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... arrhythmia: - EKG ... clinical context & EKG ... patients (including cardiac ... Critical Care #Checklist
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... Options Stabilize cardiac ... minutes) Decrease potassium ... • IV Fluids Shift ... LouLectures #Hyperkalemia
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Dialysis Serum potassium ... and ECG changes ... blocks, QRS axis shift ... #potassium #high
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
life-threatening cardiac ... disturbances, shift ... potassium into ... eliminate excess potassium ... , changes on ECG
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 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 ... treatment Remove potassium ... not quickly) #Hyperkalemia
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... site/line where potassium ... • Order a STAT EKG ... to assess cardiac ... minutes-hour) -Shift
Digoxin Pharmacology and Pathophysiology 1) Na/K ATPase Pump - Digoxin works by directly binding to and inhibiting
Pump - Digoxin works ... phase O of the cardiac ... - Hyperkalemia ( ... , in states of hypokalemia ... (or low potassium
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... CM5 continuous ECG ... abnormalities particularly potassium ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... line, stabilizes cardiac ... Terbutaline 7 µg/kg ... Management #Treatment #potassium
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