23 results
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Management of Hyperkalemia ... clinical scenario, ECG ... Insulin–Glucose IV Infusion ... Consider cause of hyperkalaemia ... recurrence #Hyperkalemia
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... sine wave (QRS-T fusion ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
Originates from single focus ... Hypomagnesemia Hypokalemia ... Diagnosis #Cardiology #ECG ... #EKG
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
Electrical Alternans on POCUS ... You dissect the EKG ... POCUS ECHO performed ... Electrical #Alternans #POCUS ... Echocardiogram #clinical #effusion
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... diuretics, Saline infusion ... hyperK periodic paralysis ... heparinized tube) • ECG ... #Hyperkalemia
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Hypomagnesemia • Hypokalemia ... minutes • Adult infusion ... • Adult: 0.5-5 mcg ... Pediatric: 0.1-1 mcg ... 1.5 mg/kg • Infusion
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
flare, Pleural effusion ... Tumor, Pleural effusion ... Tumor, Vocal cord paralysis ... Neuromuscular disease (eg ... Metabolic acidosis (eg
Cardiomyopathy in setting of Hyperkalemia on POCUS Echocardiogram
Hypotensive, suspected rhabo, ECG c/w hyperK.
Normalized post calcium &
in setting of Hyperkalemia ... on POCUS Echocardiogram ... suspected rhabo, ECG ... @mackendc #Hyperkalemia ... #POCUS #Echocardiogram
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... demonstrating ECG ... Massive pericardial effusion ... #Pericardial #Effusion ... clinical #cardiology #pocus
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial Effusion ... demonstrating ECG ... Massive pericardial effusion ... #Pericardial #Effusion ... clinical #cardiology #pocus