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diagnosis cardiology differential ecg management brash cardiacglycoside causes digitaliseffect digoxintoxicity electrocardiogram elevation fabfragments high nephrology pathophysiology potassium progression segment sodiumpotassiumatpase
Progressive ECG changes with increasing hyperkalaemia. (a) Normal (b) Tented T wave (arrow)
hyperkalaemia ... (a) Normal (b) ... d) 'Sine wave' pattern ... Diagnosis #Cardiology #EKG ... #ECG #Hyperkalemia
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... • Cell Lysis (e.g ... -1 agonism • Digoxin ... #Hyperkalemia ... #IntercellularShift
BRASH Syndrome B - Bradycardia R - Renal failure A - AV nodal blockade S - Shock H - Hyperkalemia Typical ECG
S - Shock H - Hyperkalemia ... Typical ECG ... balanced fluids" > normal ... • If on a Ca2+ channel ... ß blocker, or digoxin
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Algorithm • IV ... potassium and ECG ... changes • 5.5 ... morphology, "Sine wave" pattems
The chemical formula of Digoxin is C41 H64 O14. Digoxin (Cardiac glycoside) reversibly inhibits the sodium-potassium-ATPase, causing
, hypercalcemia, ... Hypokalemia is a ... in a bigeminal pattern ... effect" on the ECG ... consists of T wave changes
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Early-repolarization pattern ... leads • S1Q3T3 pattern ... Disorders: • Hyperkalemia ... dissection • Sodium-channel ... #ekg #electrocardiogram
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