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ECG changes due to electrolyte imbalance (disorder)

…lithium, thiazide diuretics, D vitamin and calcium overdose. ECG changes due to hypercalcemia Common ECG changes Shortened QT interval. Lengthened QRS duration. Bradycardia may occur…

Cardiac arrest due to electrolyte imbalance

…arise from various causes, including acute pancreatitis, alkalosis due to hyperventilation, rhabdomyolysis (particularly the initial phase), sepsis, malignancies with osteoblastic metastases, diminished calcium absorption and…

Type 2 Myocardial Infarction: Mechanisms and Management

…is characterised by myocyte necrosis and troponin elevation due to mechanisms other than myocardial ischaemia. Acute myocardial injury may arise from conditions such as sepsis…

Acute kidney injury: quick reference for management

…Oliguria may be due to hypovolaemia, shock, obstruction or advanced renal injury. Conversely, significant AKI may be non oliguric, particularly after nephrotoxins, sepsis or diuretic…

Sepsis and septic shock: quick reference for the first hour

…suspicion of sepsis, the first dose of antibiotic, the cultures, the fluid bolus and the start of the vasopressor. Time Action : : 0 to 5 min…

Cardiac arrest during sepsis

…a dose of 30 ml/kg. Should fluid resuscitation fail to maintain a mean arterial pressure (MAP) above 65 mmHg, consider the initiation of vasopressor…

Delirium in older adults: quick reference

…deprivation, urinary retention or a new sedative drug, for example — may be enough to precipitate the condition [1,2]. Delirium is common but often missed…

Joint aspiration

…or an anticoagulant at a therapeutic dose (relative; weigh the risk against the diagnostic benefit — where sepsis is suspected, the diagnosis always weighs more heavily)…

Neutropenic fever: quick reference for emergency management

…minutes 8 Give oxygen, fluid and a vasopressor according to the sepsis pathway when needed 9 Contact the haematologist or oncologist. Contact an infectious diseases…

Oxygen therapy

…arterial blood gas. Acute critical illness during initial stabilisation — cardiac arrest, shock, sepsis, major trauma, unconsciousness — until the saturation can be measured reliably. Conditions in…

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