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
Treatment algorithm for malignancy-associated hypercalcemia
 β€’ Aggressive IV hydration
 β€’ IV Bisphosphonate +/- Calcitonin
 β€’ Renal
Treatment algorithm ... hypercalcemia ... : Dalysis with low ... Denosumab #hypercalcemia ... #algorithm #malignancy
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... Algorithm Before ... evaluating hypokalemia ... ↑ Aldosterone: Malignant ... consumption β€’ Low
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
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
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
delegate task of evaluating ... Increase fresh gas flow ... Hypovolaemia Hypo/hyperkalaemia ... CardiacArrest #Checklist ... Intraoperative #Checklist
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
remember to tailor treatment ... Check fresh gas flow ... Consider known drug causes ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
acid, high LDH, low ... high d-dimer, low ... Treat underlying cause ... plasmapheresis Hypercalcemia ... of malignancy: