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cardiology clinical contrast diagnosis echocardiogram pocus a4c atrium differential doubleshunt effect hyperkalemia icucard intrapulmonary management negative nephrology potassium ra right
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... to right shunt 2. ... opacification by agitated saline ... echocardiogram #s4c ... #pocus #bubble
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 Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, Saline infusion ... Treatments: • Calcium 2- ... 5-10U reg IV + 1- ... 2 amps D50W ... Terbutaline 7 µg/kg SC
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial ... clinical #pocus #a4c
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 #ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
4.0-6.0 % (U/P K) ... (Na + K))+(glucose ... 3 sec) then 12mg ... : IV Infusion: 1 ... NS = normal saline
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