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 management differential potassium anesthesia anesthesiology hypokalemia low nephrology workup hyperthermia intraoperative associated bradycardia cardiology crisis emergencies endocrinology hemeonc hypercalcemia
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... Hyperaldosteronism: malignant ... Gitelman's syndrome #Hypokalemia ... #nephrology #causes
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Syndrome • HTN, High ... Aldosterone: Malignant ... #causes #potassium
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... urinary losses: • High ... ↑ Aldosterone: Malignant ... #diagnosis #Algorithm
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... for malignancy-associated ... Calcitonin Refractory Cases ... or Denosumab #malignancy ... #Treatment #algorithm
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Excessive insulation, high ... • Neuroleptic malignant ... #Differential #Causes ... Anesthesiology #Anesthesia #Checklist
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Algorithm • Treat ... the cause & optimize ... • Reconsider treatment ... #treatment #potassium ... #high
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
Malignant Hyperthermia ... ❹ Call for MH treatment ... with dantrolene Hyperkalaemia ... anaesthesia #Malignant ... Intraoperative #Checklist
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... , sotalol) • Propofol ... Hypomagnesemia • Hypokalemia ... Hypocalcemia (rarely) Treatment ... 1b (lidocaine)- case
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 → start cefepime ± vancomycin (if
Treat underlying cause ... plasmapheresis Hypercalcemia ... of malignancy: ... → no immediate treatment ... after CRS) - Treatment
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