11 results
Ventricular Tachycardia - Management Algorithm
Wide Complex Tachycardia: Rate > 100, QRS > 120
DDx: Ventricular tachycardia, SVT
- Management Algorithm ... Wide Complex Tachycardia ... aberrancy, SVT iso Na channel ... blocker, Hyperkalemia ... VTach #Management #Algorithm
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
potential Ca2+ channel ... failure Ca2+ channel ... failure - Co-medication ... Pgp-dependent drugs (e.g ... contraindications #table
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... repolarization; changes ... to 12.0 mEq/L, ventricular ... #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 ... Widening of QRS complex
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
Medications for ... , changes on ECG ... Figure 3 is an algorithm ... , and Table 3 summarizes ... medications used
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Wide-Complex Tachycardia ... Regular • If ventricular ... nodal agents (e.g ... Follow narrow-complex ... management #cardiology #algorithm
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab Indications ... Sustained ventricular ... low (1-2) risk, +ECG ... changes or troponin ... Rx: NSTEMI/UA: stable
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
V5-6 • Left Ventricular ... Disorders: • Hyperkalemia ... no P waves • Hypercalcemia ... dissection • Sodium-channel ... diagnosis #cardiology #ecg
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... heparinized tube) • ECG ... Elimination (see Table ... STOP offending medications ... K-Binding Resins - Exchanges
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... event, follow ACC algorithm ... Obtain EKG if: ... Change in clinical ... if result will change