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management diagnosis hyperkalemia treatment algorithm anesthesia anesthesiology checklist complexes differential digoxin effects intraoperative ischaemia ischemia lactated lr normal ns pathophysiology
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
Digoxin Pharmacology and Pathophysiology 1) Na/K ATPase Pump - Digoxin works by directly binding to and inhibiting
Digoxin Pharmacology ... phase O of the cardiac ... - Hyperkalemia ( ... high potassium levels ... Pathophysiology #cardiology
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... (peaked T waves, ... Calcium - Stabilizes cardiac ... membrane Shift ... treatment Remove 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 ... to assess cardiac ... minutes-hour) -Shift ... #high
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... transcellular shift ... densa receives high ... Acidosis worsens cardiac ... #pharmacology #
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... depression • T wave ... Have a high index ... abnormalities particularly potassium ... consultation with cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... Hypomagnesemia • Hypokalemia ... percent PVCs/day • High ... 300 = NSVT EKG ... #differential #cardiology
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