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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Treatment algorithm for malignancy-associated hypercalcemia.
Hypercalcemia
 - Renal Failure β†’ Dialysis with low Ca++ bath
Aggressive IV hydration
Treatment algorithm ... hypercalcemia. ... Hypercalcemia - ... #associated #hypercalcemia ... #Treatment #algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... Algorithm Before ... evaluating hypokalemia ... urinary losses: β€’ High ... ↑ Aldosterone: Malignant
Hyperkalemia Management Algorithm
 β€’ Treat the cause & optimize hemodynamics and ventilation
 β€’ Reconsider treatment leadingto
Hyperkalemia Management ... the cause & optimize ... leadingto hyperkalemia ... / Removal #Hyperkalemia ... #high
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
, sotalol) β€’ Propofol ... Hypomagnesemia β€’ Hypokalemia ... β€’ Hypocalcemia ... (rarely) Treatment ... 1b (lidocaine)- case
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... other, more common causes ... ❹ Call for MH treatment ... with dantrolene Hyperkalaemia ... Intraoperative #Checklist
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... Also consider: high ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
Treat underlying cause ... plasmapheresis Hypercalcemia ... of malignancy: ... β†’ no immediate treatment ... after CRS) - Treatment