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Cardiac arrest due to electrolyte imbalance

…and thyroid surgeries, as well as medications and agents such as bisphosphonates, calcitonin, citrate (from transfusions), phenytoin, phosphate, and foscarnet, among others. ECG in hypoc

ECG changes due to electrolyte imbalance (disorder)

…excess calcitonin, use of phenytoin, use of phosphate substitution, use of foscarnet. ECG changes due to hypocalcemia Common ECG changes Lengthened QT interval (torsade de…

Acute kidney injury: quick reference for management

…4. Take an urgent panel: creatinine, urea, sodium, potassium, bicarbonate or blood gas, calcium, phosphate, glucose and a full blood count. 5. Take a urine…

Urinary alkalinisation

…overdose. Tumour lysis syndrome appears as an indication in older protocols but is no longer routinely recommended — alkaline urine increases the precipitation of calcium phosphate…

Hyperkalaemia: quick reference for emergency treatment

…urea, sodium, calcium and magnesium. Full blood count. Plasma glucose before insulin. Creatine kinase in suspected rhabdomyolysis. Phosphate, urate and lactate dehydrogenase in suspected tumour…

Renal parameters

…up At an eGFR below 60, or in the presence of albuminuria: check the potassium, calcium, phosphate, PTH, haemoglobin and bicarbonate , review the medication list …

SGLT2 Inhibitors for Cardiovascular and Renal Protection

Cardiology Endocrinology & metabolism Pharmacology & dosing Definition and pharmacological basis Sodium glucose cotransporter 2 (SGLT2) inhibitors are a class of oral agents initially developed for glucose…

Diuretic Strategy and Decongestion in Heart Failure

Cardiology Pharmacology & dosing Definition and pathophysiology Congestion is a central expression of the heart failure syndrome and reflects excessive retention of sodium and water, with…

Hyponatraemia: quick reference for work-up and correction

…Hypertonic sodium chloride Give hypertonic saline 30 mg/mL, 3 per cent, 100 mL intravenously over about 10 to 20 minutes . Check the plasma sodium…

Primary Aldosteronism: Screening and Management

…increased, relatively autonomous from angiotensin II and plasma potassium, and resistant to suppression by sodium loading. It is the most common form of secondary hypertension…

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