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differential management anesthesia checklist hyperkalemia intraoperative workup anaphylaxis atrioventricular avblock barre complexes elevation guillain guillainbarre hypothermia k nephrology neurology osborn
Hypothermia on EKG • J (Osborn) waves • PR, QRS, and QT prolongation • Various bradyarrythmias
Hypothermia on EKG ... (e.g. sinus bradycardia ... osborn #waves #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
bradycardia ... 200ms from longer pause ... #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
• Sinus bradycardia ... • Sinus pauses ... • AV block ... Medication side effect (e.g ... Medication side effect (e.g
Hyperkalemia on EKG "Mild" Hyperkalemia • Peaked, narrow-based T Waves • Double counting of HR by EKG
bradycardia • ... of conduction block ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... exam • 12-lead ECG ... • Bradycardia-tachycardia ... Valvular disease (e.g ... #Palpitations #Cardiology
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary First Degree AV Block • The P wave is
(AV blocks) - ECG ... group-beating" on the ECG ... #ekg #ecg #diagnosis ... #electrocardiogram ... #classification
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... (eg. remifentanil ... #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... Management #Workup #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... Bundle branch block ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... or bradycardia ... alternate vasopressor (e.g ... glucagon in ß-blocked ... #Anaphylaxis #Anesthesiology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
ARBs, NSAIDs, β-blockers ... draw, ↑↑Plts or ↑↑WBC ... heparinized tube) • ECG ... only if no clear cause ... Monitor for tachycardia
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