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diagnosis management differential hyperkalemia algorithm anesthesiology checklist intraoperative workup treatment nephrology pharmacology clinical electrocardiogram evaluation hematology intercellularshift pathophysiology acutepe airway
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... in acute PE are low ... evaluating for other causes ... Wave in V1 • Shift ... AcutePE #diagnosis #cardiology
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 ... Anesthesiology #Anesthesia
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Increase fresh gas flow ... • Exclude high ... and positioning (e.g ... Pneumothorax and/or high ... (eg steroid dependency
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
• Order a STAT EKG ... stabilize heart if EKG ... minutes-hour) -Shift ... or dialysis • SLOW ... #high
Digoxin Pharmacology and Pathophysiology 1) Na/K ATPase Pump - Digoxin works by directly binding to and inhibiting
intracellular calcium causes ... - Hyperkalemia ( ... high potassium levels ... (or low potassium ... Pathophysiology #cardiology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... EABV (e.g., CHF ... • Obstruction High ... • NSAlDs #Hyperkalemia ... Diagnosis #Algorithm #Causes
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... device or nasal high ... flow. ❷ Consider ... airway expertise e.g ... blocking drug now
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... Increase fresh gas flow ... if it is due to high ... blood gas, 12-lead ECG ... Anesthesiology #Anesthesia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... heparinized tube) • ECG ... only if no clear cause ... acidosis) • Low ... Management #Treatment #potassium
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