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diagnosis cardiology differential management anesthesiology bradycardia checklist intraoperative pharmacology workup anaphylaxis bradi ddi drugdrug ekg electrocardiogram elevation evaluation herbal hypnotic
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... PALPITATIONS: Medications ... withdrawal of β-blockers ... • Serotonergic drugs ... Pheochromocytoma • Pulmonary
Sedative-Hypnotic Drugs Benzodiazepines: - Bind to specific GABAA receptor subunits at central nervous system (CNS) neuronal synapses
GABA-mediated chloride ion channel ... amnesia • hypnosis • anesthesia ... Antagonists: - Blocks ... #medications #pharmacology ... #comparison #table
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Change to inhalational ... immediately. ❼ Give drugs ... glucagon in ß-blocked ... annotate notes/drug ... Anesthesiology #Anesthesia
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Temp • ACS • Drugs ... Hyperkalemia Pulmonary ... Heart block Medications ... : • Beta blockers ... • Calcium channel
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Consider known drug ... causes (eg. remifentanil ... digoxin; calcium channel ... blocker; myocardial ... Anesthesiology #Anesthesia
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products Angiotensin-Converting Enzyme Inhibitors (ACEIs) • Night-blooming
Cardiovascular Drug-Drug ... tachycardia Calcium Channel ... vera, Licorice - Causes ... pharmacology #DDI #table ... #cardiology
Pheochromocytoma - Diagnosis and Management Summary 10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
malignant, pediatric cases ... mental status changes ... may present with pulmonary ... , induction of anesthesia ... or with certain drugs
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... QRS complex Pulmonary ... dissection • Sodium-channel ... blocking drugs ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... - Allergies to medications ... murmur 3/6) - Pulmonary ... Change in clinical ... if result will change
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