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diagnosis differential hyperkalemia management nephrology algorithm treatment anesthesiology checklist evaluation heartfailure intraoperative workup blood bradycardia cardiac clinical complexes criticalcare electrocardiogram
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
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 ... consultation with cardiology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... Intracellular Shift ... Food - Avoid in CRF ... differential #diagnosis #causes ... #potassium #high
High Output Heart Failure - Pathophysiology and Differential Diagnosis Obesity - Systemic Vasodilation, Vasoactive Adipokines Arteriovenous Fistula -
- Congenital (e.g ... HHT), Acquired (e.g ... #HeartFailure #CHF ... Differential #Diagnosis #cardiology ... #causes
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... Intracellular Shift ... Food - Avoid in CRF ... differential #diagnosis #causes ... #potassium #high
Pseudohyperkalemia vs Reverse Hyperkalemia Pseudohyperkalemia and reverse pseudohyperkalemia are both conditions where potassium levels appear falsely elevated. Pseudohyperkalemia: This
especially extreme, e.g ... potassium is high ... Causes: • Seen ... • ECG findings ... no changes in ECG
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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... Na delivery): CHF ... heparinized tube) • ECG ... only if no clear cause ... Management #Treatment #potassium
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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 Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... • Low EABV (e.g ... ., CHF, cirrhosis ... • NSAlDs #Hyperkalemia ... Diagnosis #Algorithm #Causes
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