Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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diagnosis anesthesia anesthesiology workup intraoperative airway bradycardia cardiacarrest criticalcare hyperthermia hyponatremia hypotension hypotonic increased nephrology perioperative physiologic pressure shock sodium
Bradycardia Diagnostic and Management Algorithm CONSIDER ETIOLOGY (not inclusive): - STRUCTURAL: sick sinus, AV block, ischemia,
Diagnostic and Management ... Algorithm CONSIDER ... LIFE THREATENING CAUSES ... Electrolytes (hyperkalemia ... #Differential
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... findings based on cause ... Sepsis. neurogenic, anaphylaxis ... #Diagnosis #table ... #comparison #criticalcare
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... as a possible cause ... as patient is stable ... Intraoperative #Checklist ... #Diagnosis #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Allergic reaction / anaphylaxis ... #Hyperthermia #Differential ... #Anesthesia #Checklist ... #Diagnosis #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Hypovolaemia Hypo/hyperkalaemia ... 10) Acidosis Anaphylaxis ... CardiacArrest #Checklist ... #Differential # ... #Diagnosis #Management
Hypotension - Guidelines for Crises in Anaesthesia Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
team. ❼ Consider causes ... ischaemia → 3-12 o Anaphylaxis ... #Hypotension #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia Using these steps from start to end should
should identify any cause ... Bronchospasm → 3-4 o Anaphylaxis ... Airway #Pressure #Differential ... Intraoperative #Checklist ... #Diagnosis #Management
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... : Hypovolemia, Hypervolemia ... #Hyponatremia #differential ... #diagnosis #table
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