147 results
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... examination, basic (CBC, electrolytes ... , CXR, ECG, UA), ... thyroid, MRI, toxicologic ... AlteredMentalStatus #Delirium #Management
Common sodium channel blockers which cause QRS widening.

Anticonvulsants: 
 - Carbamazepine 
Antidysrhythmics:  
 - Group
blockers which cause ... QRS #widening #ECG ... #EKG #Pharmacology ... #Medications #Toxicology ... Differential #Drugs #Classes
Wide Complex Tachycardia - ECG Definition and Causes
 • Wide Complex Tachycardia (WCT) is a cardiac
Definition and Causes ... tachycardia or WQRST Causes ... drug effect or electrolyte ... diagnosis #cardiology #ekg ... #differential #causes
Magnesium Electrolyte Repletion
Oral - Only do if patient does not tolerate IV
 • Magnesium oxide (can
Magnesium Electrolyte ... Magnesium oxide (can cause ... diarrhea and cause ... #Magnesium #Electrolyte ... #Repletion #management
Cyanide Toxicity 
Treatment:
1) Hydroxocobalamin + Cyanide = Cyanocobalamin (nontoxic) 
   or 
2) Amyl nitrite
Amyl nitrite - causes ... Cyanide #Toxicity #Toxicology ... Pathophysiology #Management
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
Potassium Electrolyte ... Intravenous (can cause ... #Potassium #Electrolyte ... #Repletion #management
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... no respiratory cause ... Salicylate Level: 150mg/kg ... Management: ... Aspirin #Toxicity #Toxicology
Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
Diagnostic and Management ... LIFE THREATENING CAUSES ... reperfusion - Electrolytes ... #Diagnosis #Management
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
cardiac syncope, e.g ... frequently benign causes ... life-threatening causes ... further guide management ... depends on the cause
Prescribing Maintenance IV Fluids
Assess
 • Can the patient meet their fluid needs orally or enterally? If
Consider fluid and electrolyte ... per L (25-30 ml/kg ... water - 1 mmol/kg ... Complex fluid or electrolyte ... #Prescribing #management