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diagnosis management hyperkalemia differential treatment algorithm anesthesiology checklist intraoperative nephrology workup blood cardiac complexes electrocardiogram elevation evaluation hematology ischaemia ischemia
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Have a high index ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Anesthesiology #Anesthesia
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
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Treatment Algorithm ECG ... injury, etc) ECG ... PR, wide QRS, bradycardia ... cardiac membrane Shift ... treatment Remove potassium
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Consider known drug causes ... (eg. remifentanil ... Also consider: high ... Management #Workup #Cardiology
Pseudohyperkalemia vs Reverse Hyperkalemia Pseudohyperkalemia and reverse pseudohyperkalemia are both conditions where potassium levels appear falsely elevated. Pseudohyperkalemia: This
Causes: • Thrombocytosis ... especially extreme, e.g ... potassium is high ... • ECG findings ... no changes in ECG
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
palpitations, bradycardia ... heparinized tube) • ECG ... QRS intervals, bradycardia ... only if no clear cause ... Management #Treatment #potassium
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 ... #high
Bradycardia - Differential Diagnosis • Cardiac disease: Myocardial ischemia / infarction, Myocarditis, Congenital disorders, Cardiomyopathies,
Bradycardia - Differential ... . hyperkalemia) ... Physiological causes ... (e.g. athletes, ... Differential #Diagnosis #cardiology
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Hypokalemia is ... electrocardiography (ECG ... Most cases of hypokalemia-induced ... transcellular shifts ... depletion impedes potassium
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 Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... Hypomagnesemia • Hypokalemia ... percent PVCs/day • High ... 300 = NSVT EKG ... #differential #cardiology
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