21 results
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
Typical ECG ... ) BRASH Treatment ... • Aggressive treatment ... fluids" > normal saline ... Syndrome #diagnosis #management
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... diuretic (often with saline ... LouLectures #Hyperkalemia ... #management #potassium ... #nephrology
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... potassium and ECG ... resulting in bizarre morphology ... , "Sine wave" pattems ... #algorithm #treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... heparinized tube) • ECG ... clear cause) Management ... #Treatment #potassium ... #nephrology #K
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Diagnosis and Management ... Diagnosis - Caine ... Anorexia nervosa Treatment ... Deficiency #Diagnosis #Management ... #neurology #nutrition
Pisa Syndrome (pleurothotonus) on Physical Exam
A tonic flexion of the trunk of the body to one
mobilization or supine ... by: - drugs (e.g ... Treatment: anticholinergics ... pleurothotonus #PhysicalExam ... #clinical #neurology
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
against “Ab”Normal Saline ... causes Hyperkalemia ... Normal saline has ... #criticalcare #management ... #diagnosis #treatment
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
KDIGO Treatment ... algorithm for management ... of acute hyperkalemia ... monitor 12-lead ECG ... #high #nephrology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Hypomagnesemia • Hypokalemia ... Hypocalcemia (rarely) Treatment ... Recurrent TdP First line ... TorsadesdePointes #TDP #Management
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
, Dehydration: neurologic ... hyper/isotonic saline ... Treatment: Treatment ... patient weight (eg ... #management #nephrology