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diagnosis cardiology anesthesia checklist workup electrocardiogram intraoperative cardiac causes classification endocarditis tachycardia acidosis airway algorithm arrest bradyarrhythmia bradycardia cooling degrees
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
conduction Uses: - Atrial ... fibrillation and atrial ... Digoxin effect on ECG ... Electrocardiogram #EKG ... #ECG
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
tachycardia (2) Atrial ... SVTs - atrial/junctional ... (3) Multifocal atrial ... bradyarrhythmia #ECG ... #EKG #diagnosis
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
convert - Possible atrial ... atrial tachycardia ... Control rate (e.g ... Rhythm: • Probable atrial ... Control rate (e.g
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial ... flutter, or atrial ... • Multifocal atrial ... Valvular disease (e.g
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
Brady Management ... P and QRS • Atrial ... Block infranodal level ... summary #Diagnosis #EKG ... electrocardiogram #ecg
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 ... Consider invasive arterial ... Checklist #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Hyperthermia #Differential ... #Causes #Anesthesiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... by excretion (e.g ... its metabolism (e.g ... / hypoxemia -> focus ... ’s • Reduced Arterial
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
help AND check arterial ... blood gas, 12-lead ECG ... Airway #Pressure #Differential ... #Anesthesiology ... Checklist #Diagnosis #Management
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