ACLS (Treatable Conditions) - Revision history

Danbot: Fix double redirect: point directly to ACLS (main)

2026-03-22T07:04:55Z

Fix double redirect: point directly to ACLS (main)

← Older revision		Revision as of 07:04, 22 March 2026
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	#REDIRECT[[ACLS (~~Main~~)]]		#REDIRECT [[ACLS (main)]]

Rossdonaldson1: Redirected page to ACLS (Main)

2023-05-31T21:53:01Z

Redirected page to ACLS (Main)

← Older revision		Revision as of 21:53, 31 May 2023
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	~~===ACLS Treatable Conditions===~~		#REDIRECT[[ACLS (Main)]]
	~~{\| {{table}}~~
	~~\| align="center" style="background:#f0f0f0;"\|'''Condition'''~~
	~~\| align="center" style="background:#f0f0f0;"\|'''Common clinical settings'''~~
	~~\| align="center" style="background:~~#~~f0f0f0;"\|'''Corrective actions'''~~
	\|-
	~~\| [[Acidosis]]\|\|~~
	*Preexisting acidosis, DM, diarrhea, drugs and toxins, prolonged resuscitation, renal disease, shock
	\|\|
	*Reassess adequacy of oxygenation, and ventilation; reconfirm endotracheal-tube placement
	Hyperventilate Consider intravenous bicarbonate if pH <7.20 after above actions have been taken
	\|-
	~~\| [[Cardiac tamponade]]\|\|~~
	*Hemorrhagic diathesis, cancer, pericarditis, trauma, after cardiac surgery or MI
	\|\|
	*Give fluids; obtain bedside echocardiogram
	*Perform pericardiocentesis. Immediate surgical intervention is appropriate if pericardiocentesis is unhelpful but cardiac tamponade is known or highly suspected.
	\|-
	~~\| [[Hypothermia]]\|\|~~
	*Alcohol abuse, burns, CNS disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma
	\|\|
	*If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is >30°C.
	*If moderate (temperature 30-34°C), proceed with resuscitation (space medications at intervals greater than usual), actively rewarm truncal body areas
	\|-
	~~\| [[Hypovolemia]], [[hemorrhage]], [[anemi]]a\|\|~~
	*Major burns, DM, GI losses, hemorrhage, hemorrhagic diathesis, cancer, pregnancy, shock, trauma
	\|\|
	Give fluids Transfuse pRBCs if hemorrhage or profound anemia is present
	*Thoracotomy is appropriate when patient has cardiac arrest from penetrating trauma and a cardiac rhythm and the duration of cardiopulmonary resuscitation before thoracotomy is <10 min
	\|-
	~~\| [[Hypoxia]]\|\|~~
	*Consider in all patients with cardiac arrest
	\|\|
	*Reassess technical quality of cardiopulmonary resuscitation, oxygenation, and ventilation; reconfirm ETT placement
	\|-
	~~\| [[Hypomagnesemia]]\|\|~~
	*Alcohol abuse, burns, DKA, severe diarrhea, diuretics, drugs (eg, cisplatin, cyclosporine, pentamidine)
	\|\|
	*Give 1-2 g magnesium sulfate intravenously over 2 min
	\|-
	~~\| [[Myocardial infarction]]\|\|~~
	*Consider in all patients with cardiac arrest, especially those with a history of coronary artery disease or prearrest acute coronary syndrome
	\|\|
	*Consider definitive care (eg, thrombolytic therapy, cardiac catheterization or coronary artery reperfusion, circulatory assist device, emergency cardiopulmonary bypass)
	\|-
	~~\| [[Poisoning]]\|\|~~
	*Alcohol abuse, bizarre or puzzling behavioral or metabolic presentation, classic toxicologic syndrome, occupational or industrial exposure, and psychiatric disease
	\|\|
	*Consult toxicologist for emergency advice on resuscitation and definitive care, including appropriate antidote
	*Prolonged resuscitation efforts may be appropriate; immediate cardiopulmonary bypass should be considered, if available
	\|-
	~~\| [[Hyperkalemia]]\|\|~~
	*Metabolic acidosis, excessive administration of potassium, drugs and toxins, vigorous exercise, hemolysis, renal disease, rhabdomyolysis, tumor lysis syndrome, and clinically significant tissue injury
	\|\|
	*If hyperkalemia is identified or strongly suspected, treat with all of the following: 10% calcium chloride (5-10 mL by slow intravenous push; do not use if hyperkalemia is secondary to digitalis poisoning), glucose and insulin (50 mL of 50% dextrose in water and 10 units of regular insulin intravenously), sodium bicarbonate (50 mmoL intravenously; most effective if concomitant metabolic acidosis is present), and albuterol (15-20mg nebulized or 0.5mg by intravenous infusion)
	\|-
	~~\| [[Hypokalemia]]\|\|~~
	*Alcohol abuse, diabetes, use of diuretics, drugs and toxins, profound gastrointestinal losses, hypomagnesemia
	\|\|
	*If profound hypokalemia (<2-2.5 mmoL of potassium per liter) is accompanied by cardiac arrest, initiate urgent intravenous replacement (2 mmoL/min intravenously for 10-15 mmoL), then reassess
	\|-
	~~\| [[Pulmonary embolism]]\|\|~~
	*Hospitalized patient, recent surgical procedure, peripartum, known risk factors for venous thromboembolism, history of venous thromboembolism, or prearrest presentation consistent with diagnosis of acute pulmonary embolism
	\|\|
	*Administer fluids; augment with vasopressors as necessary
	Confirm diagnosis, if possible; consider immediate cardiopulmonary bypass to maintain patient's viability Consider definitive care (eg, thrombolytic therapy, embolectomy by interventional radiology or surgery)
	\|-
	~~\| [[Tension pneumothorax]]\|\|~~
	*Placement of central catheter, mechanical ventilation, pulmonary disease (including asthma, chronic obstructive pulmonary disease, and necrotizing pneumonia), thoracentesis, and trauma
	\|\|
	*Needle decompression, followed by chest-tube insertion
	\|}


	~~==See Also==~~
	*[[ACLS (Main)]]

	~~[[Category:Critical Care]]~~
	~~[[Category:Cardiology]]~~
	~~[[Category:EMS~~]]

Rossdonaldson1 at 21:51, 31 May 2023

2023-05-31T21:51:49Z

← Older revision		Revision as of 21:51, 31 May 2023
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			===ACLS Treatable Conditions===
	{\| {{table}}		{\| {{table}}
	\| align="center" style="background:#f0f0f0;"\|'''Condition'''		\| align="center" style="background:#f0f0f0;"\|'''Condition'''

Rossdonaldson1: /* See Also */

2023-05-31T21:50:51Z

Rossdonaldson1 at 21:50, 31 May 2023

2023-05-31T21:50:40Z

← Older revision		Revision as of 21:50, 31 May 2023
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	*Prolonged resuscitation efforts may be appropriate; immediate cardiopulmonary bypass should be considered, if available		*Prolonged resuscitation efforts may be appropriate; immediate cardiopulmonary bypass should be considered, if available
	\|-		\|-
	\| Hyperkalemia\|\|		\| [[Hyperkalemia]]\|\|
	*Metabolic acidosis, excessive administration of potassium, drugs and toxins, vigorous exercise, hemolysis, renal disease, rhabdomyolysis, tumor lysis syndrome, and clinically significant tissue injury		*Metabolic acidosis, excessive administration of potassium, drugs and toxins, vigorous exercise, hemolysis, renal disease, rhabdomyolysis, tumor lysis syndrome, and clinically significant tissue injury
	\|\|		\|\|
	*If hyperkalemia is identified or strongly suspected, treat with all of the following: 10% calcium chloride (5-10 mL by slow intravenous push; do not use if hyperkalemia is secondary to digitalis poisoning), glucose and insulin (50 mL of 50% dextrose in water and 10 units of regular insulin intravenously), sodium bicarbonate (50 mmoL intravenously; most effective if concomitant metabolic acidosis is present), and albuterol (15-20mg nebulized or 0.5mg by intravenous infusion)		*If hyperkalemia is identified or strongly suspected, treat with all of the following: 10% calcium chloride (5-10 mL by slow intravenous push; do not use if hyperkalemia is secondary to digitalis poisoning), glucose and insulin (50 mL of 50% dextrose in water and 10 units of regular insulin intravenously), sodium bicarbonate (50 mmoL intravenously; most effective if concomitant metabolic acidosis is present), and albuterol (15-20mg nebulized or 0.5mg by intravenous infusion)
	\|-		\|-
	\| Hypokalemia\|\|		\| [[Hypokalemia]]\|\|
	*Alcohol abuse, diabetes, use of diuretics, drugs and toxins, profound gastrointestinal losses, hypomagnesemia		*Alcohol abuse, diabetes, use of diuretics, drugs and toxins, profound gastrointestinal losses, hypomagnesemia
	\|\|		\|\|
	*If profound hypokalemia (<2-2.5 mmoL of potassium per liter) is accompanied by cardiac arrest, initiate urgent intravenous replacement (2 mmoL/min intravenously for 10-15 mmoL), then reassess		*If profound hypokalemia (<2-2.5 mmoL of potassium per liter) is accompanied by cardiac arrest, initiate urgent intravenous replacement (2 mmoL/min intravenously for 10-15 mmoL), then reassess
	\|-		\|-
	\| Pulmonary embolism\|\|		\| [[Pulmonary embolism]]\|\|
	*Hospitalized patient, recent surgical procedure, peripartum, known risk factors for venous thromboembolism, history of venous thromboembolism, or prearrest presentation consistent with diagnosis of acute pulmonary embolism		*Hospitalized patient, recent surgical procedure, peripartum, known risk factors for venous thromboembolism, history of venous thromboembolism, or prearrest presentation consistent with diagnosis of acute pulmonary embolism
	\|\|		\|\|
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	Confirm diagnosis, if possible; consider immediate cardiopulmonary bypass to maintain patient's viability Consider definitive care (eg, thrombolytic therapy, embolectomy by interventional radiology or surgery)		Confirm diagnosis, if possible; consider immediate cardiopulmonary bypass to maintain patient's viability Consider definitive care (eg, thrombolytic therapy, embolectomy by interventional radiology or surgery)
	\|-		\|-
	\| Tension pneumothorax\|\|		\| [[Tension pneumothorax]]\|\|
	*Placement of central catheter, mechanical ventilation, pulmonary disease (including asthma, chronic obstructive pulmonary disease, and necrotizing pneumonia), thoracentesis, and trauma		*Placement of central catheter, mechanical ventilation, pulmonary disease (including asthma, chronic obstructive pulmonary disease, and necrotizing pneumonia), thoracentesis, and trauma
	\|\|		\|\|

Rossdonaldson1 at 21:50, 31 May 2023

2023-05-31T21:50:11Z

← Older revision		Revision as of 21:50, 31 May 2023
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	\|-		\|-
	\| [[Hypoxia]]\|\|		\| [[Hypoxia]]\|\|
	*Consider in all patients with cardiac arrest\|\|Reassess technical quality of cardiopulmonary resuscitation, oxygenation, and ventilation; reconfirm ETT placement		*Consider in all patients with cardiac arrest
			\|\|
			*Reassess technical quality of cardiopulmonary resuscitation, oxygenation, and ventilation; reconfirm ETT placement
	\|-		\|-
	\| [[Hypomagnesemia]]\|\|		\| [[Hypomagnesemia]]\|\|

Rossdonaldson1 at 21:49, 31 May 2023

2023-05-31T21:49:43Z

Show changes

Neil.m.young: Text replacement - " percent" to "%"

2017-11-12T04:14:59Z

Text replacement - " percent" to "%"

← Older revision		Revision as of 04:14, 12 November 2017
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	\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Hyperkalemia		\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Hyperkalemia
	\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Metabolic acidosis, excessive administration of potassium, drugs and toxins, vigorous exercise, hemolysis, renal disease, rhabdomyolysis, tumor lysis syndrome, and clinically significant tissue injury		\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Metabolic acidosis, excessive administration of potassium, drugs and toxins, vigorous exercise, hemolysis, renal disease, rhabdomyolysis, tumor lysis syndrome, and clinically significant tissue injury
	\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| If hyperkalemia is identified or strongly suspected, treat with all of the following: 10 ~~percent~~ calcium chloride (5-10 mL by slow intravenous push; do not use if hyperkalemia is secondary to digitalis poisoning), glucose and insulin (50 mL of 50 ~~percent~~ dextrose in water and 10 units of regular insulin intravenously), sodium bicarbonate (50 mmoL intravenously; most effective if concomitant metabolic acidosis is present), and albuterol (15-20mg nebulized or 0.5mg by intravenous infusion)		\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| If hyperkalemia is identified or strongly suspected, treat with all of the following: 10% calcium chloride (5-10 mL by slow intravenous push; do not use if hyperkalemia is secondary to digitalis poisoning), glucose and insulin (50 mL of 50% dextrose in water and 10 units of regular insulin intravenously), sodium bicarbonate (50 mmoL intravenously; most effective if concomitant metabolic acidosis is present), and albuterol (15-20mg nebulized or 0.5mg by intravenous infusion)
	\|- class="divider_top"		\|- class="divider_top"
	\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Hypokalemia		\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Hypokalemia

Ostermayer: Text replacement - "Hypothermia " to "Hypothermia"

2017-03-10T11:28:07Z

Text replacement - "Hypothermia " to "Hypothermia"

← Older revision		Revision as of 11:28, 10 March 2017
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	\| style="border-color: rgb(211, 211, 211) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: dotted dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| Perform pericardiocentesis. Immediate surgical intervention is appropriate if pericardiocentesis is unhelpful but cardiac tamponade is known or highly suspected.		\| style="border-color: rgb(211, 211, 211) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: dotted dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| Perform pericardiocentesis. Immediate surgical intervention is appropriate if pericardiocentesis is unhelpful but cardiac tamponade is known or highly suspected.
	\|- class="divider_top"		\|- class="divider_top"
	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Hypothermia		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| [[Hypothermia]]
	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Alcohol abuse, burns, CNS  disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Alcohol abuse, burns, CNS  disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma
	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is >30°C.		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is >30°C.

Rossdonaldson1: Text replacement - ">" to ">"

2017-01-23T22:08:25Z

Text replacement - ">" to ">"

← Older revision		Revision as of 22:08, 23 January 2017
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	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Hypothermia		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Hypothermia
	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Alcohol abuse, burns, CNS  disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Alcohol abuse, burns, CNS  disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma
	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is ~~>~~30°C.		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is >30°C.
	\|-		\|-
	\| style="border-color: rgb(211, 211, 211) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: dotted dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If moderate (temperature 30-34°C), proceed with resuscitation (space medications at intervals greater than usual), actively rewarm truncal body areas		\| style="border-color: rgb(211, 211, 211) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: dotted dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If moderate (temperature 30-34°C), proceed with resuscitation (space medications at intervals greater than usual), actively rewarm truncal body areas

← Older revision		Revision as of 04:14, 12 November 2017
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	\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Hyperkalemia		\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Hyperkalemia
	\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Metabolic acidosis, excessive administration of potassium, drugs and toxins, vigorous exercise, hemolysis, renal disease, rhabdomyolysis, tumor lysis syndrome, and clinically significant tissue injury		\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Metabolic acidosis, excessive administration of potassium, drugs and toxins, vigorous exercise, hemolysis, renal disease, rhabdomyolysis, tumor lysis syndrome, and clinically significant tissue injury
	\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| If hyperkalemia is identified or strongly suspected, treat with all of the following: 10 ~~percent~~ calcium chloride (5-10 mL by slow intravenous push; do not use if hyperkalemia is secondary to digitalis poisoning), glucose and insulin (50 mL of 50 ~~percent~~ dextrose in water and 10 units of regular insulin intravenously), sodium bicarbonate (50 mmoL intravenously; most effective if concomitant metabolic acidosis is present), and albuterol (15-20mg nebulized or 0.5mg by intravenous infusion)		\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| If hyperkalemia is identified or strongly suspected, treat with all of the following: 10% calcium chloride (5-10 mL by slow intravenous push; do not use if hyperkalemia is secondary to digitalis poisoning), glucose and insulin (50 mL of 50% dextrose in water and 10 units of regular insulin intravenously), sodium bicarbonate (50 mmoL intravenously; most effective if concomitant metabolic acidosis is present), and albuterol (15-20mg nebulized or 0.5mg by intravenous infusion)
	\|- class="divider_top"		\|- class="divider_top"
	\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Hypokalemia		\| style="font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; border-left: 1px solid rgb(0, 0, 0); border-bottom: 1px solid rgb(221, 221, 221); padding: 0.4em 0.6em 0.6em; border-top: 1px solid rgb(0, 0, 0);" \| Hypokalemia

← Older revision		Revision as of 11:28, 10 March 2017
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	\| style="border-color: rgb(211, 211, 211) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: dotted dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| Perform pericardiocentesis. Immediate surgical intervention is appropriate if pericardiocentesis is unhelpful but cardiac tamponade is known or highly suspected.		\| style="border-color: rgb(211, 211, 211) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: dotted dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| Perform pericardiocentesis. Immediate surgical intervention is appropriate if pericardiocentesis is unhelpful but cardiac tamponade is known or highly suspected.
	\|- class="divider_top"		\|- class="divider_top"
	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Hypothermia		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| [[Hypothermia]]
	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Alcohol abuse, burns, CNS  disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Alcohol abuse, burns, CNS  disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma
	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is >30°C.		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is >30°C.

← Older revision		Revision as of 22:08, 23 January 2017
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	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Hypothermia		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Hypothermia
	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Alcohol abuse, burns, CNS  disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" rowspan="2" \| Alcohol abuse, burns, CNS  disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma
	\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is ~~>~~30°C.		\| style="border-color: rgb(0, 0, 0) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: solid dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is >30°C.
	\|-		\|-
	\| style="border-color: rgb(211, 211, 211) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: dotted dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If moderate (temperature 30-34°C), proceed with resuscitation (space medications at intervals greater than usual), actively rewarm truncal body areas		\| style="border-color: rgb(211, 211, 211) rgb(211, 211, 211) rgb(221, 221, 221) rgb(0, 0, 0); border-width: 1px; border-style: dotted dotted solid solid; font-family: Verdana,Arial,Helvetica,sans-serif; margin: 0px; vertical-align: top; padding: 0.4em 0.6em 0.6em;" \| If moderate (temperature 30-34°C), proceed with resuscitation (space medications at intervals greater than usual), actively rewarm truncal body areas

← Older revision		Revision as of 21:50, 31 May 2023
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	==See Also==		==See Also==
	[[ACLS (Main)]]		*[[ACLS (Main)]]

	[[Category:Critical Care]]		[[Category:Critical Care]]
	[[Category:Cardiology]]		[[Category:Cardiology]]
	[[Category:EMS]]		[[Category:EMS]]