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diagnosis differential hyperkalemia management treatment cardiology stable tachycardia ekg evaluation k movementdisorders narrowcomplex neurology perioperative potassium preop preoperative progression proteinuria
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
give adenosine Irregular ... nodal agents (e.g ... consultation • If polymorphic ... narrow-complex irregular ... management #cardiology #algorithm
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia. - At
repolarization; changes ... repolarization causes ... QRS widens, and irregular ... #ECG #Changes # ... Progression #Table
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... Treat underlying cause ... Irregular Rhythm ... Treat underlying cause ... management #cardiology #algorithm
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... • Minimal change ... Protein deposition (eg ... #Proteinuria #Nephrology ... #Causes
Causes of Tremors - Movement Disorders - Differential Diagnosis Algorithm Action Tremor - Occurs During Voluntary Muscle
Causes of Tremors ... Differential Diagnosis Algorithm ... Cerebellar Disease (e.g ... Enhanced Physiologic Change ... #Causes
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... • Cell Lysis (e.g ... #Hyperkalemia #IntercellularShift ... #Nephrology #Differential ... #Causes
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... • Low EABV (e.g ... #Hyperkalemia #IntercellularShift ... #Nephrology #Differential ... #Causes
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
fluid overload, irregular ... event, follow ACC algorithm ... Obtain EKG if: ... Change in clinical ... if result will change
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... K-Binding Resins - Exchanges ... Treatment #potassium #nephrology
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