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diagnosis anesthesiology checklist workup intraoperative cardiology differential hyperkalemia neurology pharmacology tachycardia cardiac convulsive epilepticus potassium status syndrome acep acyclovir anaphylaxis
Overall schema for resuscitation of the bradycardic periarresting patient A patient with bradycardic periarrest may be rescued
medical therapy (e.g ... electrical therapy (e.g ... both types of treatments ... #Management #Bradycardia ... #Algorithm #Epinephrine
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... Checklist #Diagnosis #Management
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... Checklist #Diagnosis #Management
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... (eg. remifentanil ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... devices could have caused ... a septic shower ... cultures if possible (eg ... Anesthesiology #Anesthesia
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... trolley, anaphylaxis treatment ... alternate vasopressor (e.g ... Anesthesiology #Anesthesia ... Checklist #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
, e.g. central line ... pericardiocentesis kit (eg ... thoracotomy is a better treatment ... Plan definitive management ... Checklist #Diagnosis #Management
Intrapartum Abnormal Fetal HR Tracing - Causes of Bradycardia and Tachycardia - Differential Diagnosis Algorithm Maternal Bradycardia:
HR Tracing - Causes ... congenital heart block (e.g ... SLE) Fetal Bradycardia ... Vagal stimulation (e.g ... #Causes #Obstetrics
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia Treatment ... Algorithm ECG ... injury, etc) ECG ... PR, wide QRS, bradycardia ... #Algorithm #Management
Vasopressors and Inotropes - Pharmacology Summary Vasopressors Phenylephrine (alpha-1) • Increases BP, SVR • Risk of reflex bradycardia
Risk of reflex bradycardia ... • Higher doses cause ... anaphylaxis, 2nd line in septic ... cAMP/cGMP • Causes ... Pharmacology #Summary #management
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