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diagnosis differential hyperkalemia algorithm potassium electrocardiogram equivalents high nephrology stemi anesthesiology checklist complexes evaluation hematology interpretation intraoperative ischaemia kdigo leukostasis
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... #Cardiac #Ischemia
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... asymmetrical, similar or bigger ... than QRS - deWinter ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... depletion • Consider K+ ... binder • Consider ... potassium and ECG ... #algorithm #treatment
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Algorithm ECG ... injury, etc) ECG ... (peaked T waves, ... Calcium - Stabilizes cardiac ... #Algorithm #Management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... heparinized tube) • ECG ... bradycardia → sine wave ... line, stabilizes cardiac ... ileus/obstruction (ischemia
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
AKI, acute limb ischemia ... values: Elevated K, ... unless worrisome EKG ... with tetany or cardiac ... TLS #diagnosis #management
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment ... department • Place on cardiac ... monitor 12-lead ECG ... depletion • Consider K+ ... binder** • Consider
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... (UPC) ratio • Cardiac ... recent DAN) • EMG ... differential #diagnosis #management ... #treatment
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