Medical

pH Matters: How Acid-Base Balance Influences Vasopressor Selection

So you have a patient who is acidotic and hypotensive and you need to resuscitate them. Your agency/hospital has no care about their budget and doesn’t mind blowing money left right and center so you have access to the following vasopressors: Which of these would be most ideal for your hypotensive acidotic patient? If you …

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Mastering Hyperkalemia

Hyperkalemia is a severe and deadly event which means there is an excessive amount of potassium in the blood. The normal concentration of potassium in the blood is around 3.5-5.0 mmol/L. Hyperkalemia is caused by many different things and it effects vital body functions. The causes of hyperkalemia can be broken down into three categories. …

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ECG Vectors and Axis

What is an ECG? An ECG is a graphical representation of the electrical activity in the heart, or as I call it, squiggles on a piece of paper which makes me seem intelligent right? We use electrodes to connect the ECG monitor to the patient and these electrodes pick up the electrical activity and cause …

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Implementing Beta Blockers and Hemodynamic Dosing Epinephrine for Cardiac Arrest

Epinephrine administration during a cardiac arrest has been a hot topic for quite some time. As I was creating the first cardiac arrest post (linked below), I began to think “why don’t we just administer a better medication?” Spending a crazy amount of time in the middle of the night for several weeks, I believe …

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