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diagnosis management differential hyperkalemia workup algorithm anesthesia anesthesiology intraoperative nephrology treatment pharmacology clinical electrocardiogram hematology intercellularshift pathophysiology acutepe airway blood
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
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
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
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
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 ... Intraoperative #Checklist
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
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... heart disease Causes ... Hypomagnesemia • Hypokalemia ... classified as: • Low ... 300 = NSVT EKG
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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