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diagnosis management treatment algorithm anesthesia anesthesiology criticalcare differential intraoperative causes high hypokalemia anemia bradycardia cardiac cardiacarrest cardiology cell crisis cva
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... arrhythmia: - EKG ... pomagnesemia Evaluation ... clinical context & EKG ... Critical Care #Checklist
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
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
Checklist for Evaluation ... tox/infectious workup ... nonconvuIsive status #Checklist ... #Delirium #Evaluation ... #Workup #MICU #
Failure to Thrive - Evaluation Checklist • History: Baseline, ADLs/iADLs, Med Rec, ROS, Social support &
Failure to Thrive - Evaluation ... Checklist • History ... , 25-OH Vit D, ECG ... PT, OT, Social work ... #Checklist #diagnosis
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
disturbances, shift ... potassium into ... eliminate excess potassium ... reduce dietary 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 ... injury, etc) ECG ... cardiac membrane Shift ... treatment Remove potassium ... not quickly) #Hyperkalemia
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation and Management ... Evaluation begins ... electrocardiography (ECG ... transcellular shifts ... depletion impedes potassium
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 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 ... stabilize heart if EKG ... minutes-hour) -Shift
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... reabsorption) Workup ... heparinized tube) • ECG ... Terbutaline 7 µg/kg ... Management #Treatment #potassium
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... A) Initial Evaluation ... Cardioembolic: • ECG ... #CVA #stroke #workup ... #diagnosis #checklist
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