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diagnosis management differential anesthesiology checklist workup hyperkalemia intraoperative algorithm clinical pharmacology bradycardia digoxin electrocardiogram elevation evaluation hematology nephrology pathophysiology perioperative
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... of cardio-pulmonary ... Wave in V1 • Shift ... in relation to ECG ... AcutePE #diagnosis #cardiology
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 - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... and ECG changes ... blocks, QRS axis shift ... #potassium #high ... management #algorithm #treatment
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
• Treat the cause ... • Reconsider treatment ... and parenteral potassium ... Intracellular K+ Shift ... #potassium #high
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
goals of acute treatment ... life-threatening cardiac ... disturbances, shift ... , changes on ECG ... #Treatment
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 Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
ECG changes, weakness ... injury, etc) ECG ... Calcium - Stabilizes cardiac ... membrane Shift ... Remove potassium
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Excessive insulation, high ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
• Order a STAT EKG ... to assess cardiac ... stabilize heart if EKG ... minutes-hour) -Shift ... #potassium #high
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
Management of Hyperkalemia ... mmol/L - Consider cause ... clinical scenario, ECG ... Gluconate IV Shift ... Prevention - Consider cause
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• Exclude high ... and positioning (e.g ... Pneumothorax and/or high ... consider: o Cardiac ... (eg steroid dependency
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