Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Tumor Lysis Syndrome
An acute, life-threatening condition that appears within 7 days of starting cytotoxic therapies in
) occur in high ... 6L/day) β€’ For hyperkalemia ... otherwise treat with "hyperkalemia ... Lysis #Syndrome #TLS ... #oncology #management
Hyperkalemia Management Algorithm
 β€’ Treat the cause & optimize hemodynamics and ventilation
 β€’ Reconsider treatment leadingto
Hyperkalemia Management ... leadingto hyperkalemia ... / Removal #Hyperkalemia ... #Management #Algorithm ... #high
Hyperkalemia - Management Algorithm
 β€’ IV calcium
 β€’ IV insulin and glucose and/or salbutamolt
 β€’ Consider
Hyperkalemia - Management ... Algorithm β€’ IV ... , asystole #hyperkalemia ... #potassium #high ... #algorithm #treatment
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... leukapheresis - TLS ... Spontaneous if high ... hydration - Hyperkalemia ... #diagnosis #management
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 β€’ Place on cardiac
algorithm for management ... of acute hyperkalemia ... Consider dialysis #hyperkalemia ... #management #algorithm ... #high #nephrology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
Algorithm Drugs ... , sotalol) β€’ Propofol ... Hypomagnesemia β€’ Hypokalemia ... β€’ Hypocalcemia ... (rarely) Treatment
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
remember to tailor treatment ... Also consider: high ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist ... #Diagnosis #Management