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management differential anesthesia anesthesiology checklist intraoperative treatment bradyarrhythmia bradycardia cardiacarrest cardiology classification electrocardiogram hyperkalemia hypertension hyperthermia hypotension indications k nephrology
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
200ms from longer pause ... block (lower AV cells ... can function) Wide ... bradyarrhythmia #ECG ... #EKG #diagnosis
Shock - Differential Diagnosis by Classification Reflex Syncope - Vasovagal syncope • Prolonged standing
- Differential Diagnosis ... • Ventricular tachycardia ... effect (e.g. αblockers ... effect (e.g. sedation ... Classification #Table
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 ... Allergic reaction / anaphylaxis ... malignant syndrome (e.g ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... alternate vasopressor (e.g ... as patient is stable ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
and positioning (e.g ... non-sinus → 2-7 Tachycardia ... ischaemia → 3-12 o Anaphylaxis ... (eg steroid dependency ... #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
obtain 12-lead ECG ... : central line/wire ... amniotic (→ 3-5); anaphylaxis ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Bell's Palsy - Diagnosis and Management Summary - GrepMed Handbook Acute Idiopathic Unilateral Facial Nerve (CN7) Palsy Presentation:
Bell's Palsy - Diagnosis ... and Workup: • ... No additional workup ... CNS inflammatory cause ... ) • EMG/NCS (rare
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... and Differential Diagnosis ... risk factors (eg ... hypertension (eg ... hypertension (eg
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
theatres / emergency bell ... • Check ECG rhythm ... 10) Acidosis Anaphylaxis ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... Monitor for tachycardia
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