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diagnosis management treatment differential cardiology nephrology causes evaluation medications neurology potassium progression antihypertensive bloodpressure cad cardiacglycoside contraindications digitaliseffect digoxin digoxintoxicity
Progressive ECG changes with increasing hyperkalaemia. (a) Normal (b) Tented T wave (arrow)
Progressive ECG ... hyperkalaemia ... d) 'Sine wave' pattern ... Diagnosis #Cardiology #EKG ... #ECG #Hyperkalemia
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia. - At
Hyperkalemia shortens ... repolarization; changes ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
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
Compelling and Possible Contraindications to Antihypertensive Drugs Diuretics (thiazides) - Gout - Metabolic syndrome, Glucose intolerance, Pregnancy,
, Hypokalemia, Erectile ... potential Ca2+ channel ... failure Ca2+ channel ... Pgp-dependent drugs (e.g ... contraindications #table
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
SVT - Management Algorithm ... • Abrupt rate changes ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... tachycardia #Management #Algorithm
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... ECG changes, weakness ... injury, etc) ECG ... changes?
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... • Cell Lysis (e.g ... • Digoxin #Hyperkalemia ... #IntercellularShift
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... • Low EABV (e.g ... • NSAlDs #Hyperkalemia ... #IntercellularShift
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Differential Diagnosis Algorithm ... PHANTOMS): • Pattern ... change, progressively ... symptoms and signs (e.g ... CNS infection (e.g
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
the Treatment of Hyperkalemia ... , changes on ECG ... , severe hyperkalemia ... Figure 3 is an algorithm ... , and Table 3 summarizes
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