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diagnosis management cardiology anesthesia anesthesiology checklist intraoperative tachycardia clinical differential pharmacology workup algorithm criticalcare treatment a4c agonists anaphylaxis avrt cardiomyopathy
Tachycardia - Differential Diagnosis Table - Wide vs Narrow, Regular vs Irregular Regular Rhythm - Narrow Complex
Differential Diagnosis Table ... • ST vs SVT (AVNRT ... whether AF is cause ... Differential #Diagnosis #Table ... Irregular #causes
Supraventricular Tachycardia EKG Here’s a great ECG case of a 50-year-old lady who presented with palpitations Her heart
case of a 50-year-old ... Is it wide or narrow ... computer thinks it’s wide ... @EM_RESUS #AVRT ... #ECG #Electrocardiogram
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Converts - Probably AVnRT ... Control rate (e.g ... Treat underlying cause ... Treat underlying cause
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
- Medication side ... effect (e.g. αblockers ... - Medication side ... Classification #Table ... #Causes
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(mild ↑CO) - Side ... is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... expertise e.g. ... patient’s left hand side ... patient’s right hand side ... Guidelines for crises
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... • Confirm airway ... obtain 12-lead ECG ... : central line/wire ... Guidelines for crises
GLP-1 Receptor Agonists - Pharmacology Summary Mechanisms of Action: Stimulate glucose-dependent insulin release from the pancreas (GLP-1
Ozempic), or daily tablet ... Toxicities: • Gl side ... effects (e.g. diarrhea ... , nausea, worsen ... not definitively cause
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... as a possible cause ... • Maintain the airway ... alternate vasopressor (e.g ... as patient is stable
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
of a difficult airway ... - Oral cavity/Airway ... event, follow ACC ... Obtain EKG if: ... indication of AC
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