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diagnosis management cardiology algorithm anesthesia checklist clinical differential intraoperative tachycardia pharmacology treatment workup comparison echocardiogram foamed a4c agonists anaphylaxis avrt
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
Common Vasopressors and Inotropes Norepinephrine (NE) - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Inotropes #comparison #table ... #pharmacology #criticalcare
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
- Medication side ... effect (e.g. αblockers ... - Medication side ... Classification #Table ... #Causes
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
findings based on cause ... warm extremities, wide ... Differential #Diagnosis #table ... #comparison #criticalcare
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 ... alternate vasopressor (e.g ... as patient is stable ... #Anaphylaxis #Anesthesiology
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
Guidelines for Crises ... airway expertise e.g ... patient’s left hand side ... Guidelines for crises ... Intubation #Difficult #Anesthesiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
Guidelines for Crises ... obtain 12-lead ECG ... : central line/wire ... Guidelines for crises ... #Tachycardia #Anesthesiology
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