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management diagnosis anesthesia anesthesiology cardiology workup algorithm differential criticalcare heartfailure shock tachycardia airway cardiogenic cardiomyopathy clinical cyanosis encephalopathy evaluation foamed
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... disease or CHF) ... Control rate (e.g ... disease or CHF)
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Distributive: Sepsis, Anaphylaxis ... Failure, Toxins/Medications ... Decompensated CHF ... • Obstructive: Pulmonary ... ) UOP > 0.5 cc/kg
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg ... #CHF #Shock #Cardiogenic
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... treatment pack ... alternate vasopressor (e.g ... as patient is stable ... #Checklist #Diagnosis
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Intraoperative Tachycardia ... remember to tailor treatment ... obtain 12-lead ECG ... amniotic (→ 3-5); anaphylaxis ... #Checklist #Diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... Na delivery): CHF ... heparinized tube) • ECG ... Elimination (see Table ... STOP offending medications
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
blood gas, 12-lead ECG ... Bronchospasm → 3-4 o Anaphylaxis ... o Aspiration, pulmonary ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... murmur 3/6) - Pulmonary ... disease b) CHF ... indicated • EKG ... Obtain EKG if:
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
on MRA/CTA • Anterior ... Electrolyte abnormality, Medication ... • EEG: With persistent ... epilepticus Treatment ... underlying cause • Treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... & Dry) is the treatment ... #table #foamed ... #heartfailure #chf
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