Leduc Healthcare Consulting Group

11/08/2025

✅ Takotsubo cardiomyopathy.

*Takotsubo syndrome: the broken-heart syndrome.

*Image representing the phases involved in the most accepted pathophysiological mechanism of Takotsubo syndrome.

11/08/2025

11/04/2025

What are these percentages?

11/02/2025

𝐀𝐜𝐮𝐭𝐞 𝐇𝐲𝐩𝐞𝐫𝐤𝐚𝐥𝐚𝐞𝐦𝐢𝐚 𝐀𝐥𝐠𝐨𝐫𝐢𝐭𝐡𝐦


𝙂𝙤𝙖𝙡𝙨
• Protect the heart
• Shift potassium into cells.
• Remove potassium from the body.

𝙄𝙣 𝙍𝙚𝙛𝙧𝙖𝙘𝙩𝙤𝙧𝙮 𝙃𝙮𝙥𝙚𝙧-𝙠𝙖𝙡𝙖𝙚𝙢𝙞𝙘 𝘾𝙖𝙧𝙙𝙞𝙖𝙘 𝘼𝙧𝙧𝙚𝙨𝙩.
• Consider in all patients with
an arrhythmia or cardiac arrest.
• Consider ECG as a diagnostic tool.
• Consider ECPR.
• Consider dialysis initiation during CPR
• Monitor serum potassium and glucose levels.
• Prevent the recurrence of hyperkalaemia.

𝙋𝙖𝙩𝙞𝙚𝙣𝙩 𝙉𝙤𝙩 𝙞𝙣 𝘾𝙖𝙧𝙙𝙞𝙖𝙘 𝘼𝙧𝙧𝙚𝙨𝙩
Assess patient:
• 𝐀𝐁𝐂𝐃𝐄 approach and correct any abnormalities,
• 𝐀ccess obtain IV access.

• 𝐁lood gas analyser for K* level
• 𝐁lood Sample to Lab

• 𝐂heck Glucose Level
• 𝐂ardiac monitoring -

• 𝐃efine Pseudohyperkalemia
• 𝐃efine Reverse pseudohyperkalemia

• 𝐄CG - look for signs of hyperkalaemia.
• 𝐄mpirical ttt for Arrhythmia if Suspect HyperK
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sᴜsᴘɪᴄɪᴏɴ Cʀɪᴛᴇʀɪᴀ ꜰᴏʀ 𝐏𝐬ᴇᴜᴅᴏʜʏᴘᴇʀᴋᴀʟᴇᴍɪᴀ ᴏʀ
𝐑ᴇᴠᴇʀ𝐬ᴇ 𝐏𝐬ᴇᴜᴅᴏʜʏᴘᴇʀᴋᴀʟᴇᴍɪᴀ.

🪟Pʀᴇsᴇɴᴄᴇ ᴏꜰ ʜʏᴘᴇʀᴋᴀʟᴇᴍɪᴀ ᴡɪᴛʜ
▫️ɴᴏʀᴍᴀʟ ʀᴇɴᴀʟ ꜰᴜɴᴄᴛɪᴏɴ,
▫️ɴᴏʀᴍᴀʟ EKG,
▫️ᴀʙsᴇɴᴄᴇ ᴏꜰ ᴄʟɪɴɪᴄᴀʟ sɪɢɴs ᴏꜰ ʜʏᴘᴇʀᴋᴀʟᴇᴍɪᴀ,
▫️ᴀʙsᴇɴᴄᴇ ᴏꜰ ᴀᴄɪᴅ⁻ʙᴀsᴇ ᴀʙɴᴏʀᴍᴀʟɪᴛɪᴇs ᴀɴᴅ,
▫️ᴛʜᴇ ᴘʀᴇsᴇɴᴄᴇ ᴏꜰ ᴇxᴛʀᴇᴍᴇ ʟᴇᴜᴋᴏᴄʏᴛᴏsɪs
▫️ᴅɪꜰꜰᴇʀᴇɴᴄᴇ ʙᴇᴛᴡᴇᴇɴ sᴇʀᴜᴍ ᴀɴᴅ ᴘʟᴀsᴍᴀ ᴘᴏᴛᴀssɪᴜᴍ
ᴏꜰ ᴍᴏʀᴇ ᴛʜᴀɴ 0.4 ᴍᴍᴏʟ/L ɪs sᴜɢɢᴇsᴛɪᴠᴇ
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Follow hyperkalaemia algorithm guided by the severity of hyper-kalaemia and ECG changes.

𝙈𝙤𝙙𝙚𝙧𝙖𝙩𝙚 𝙝𝙮𝙥𝙚𝙧𝙠𝙖𝙡𝙖𝙚𝙢𝙞𝙖 (𝙨𝙚𝙧𝙪𝙢 𝙆^ 6.0-6.4 𝙢𝙢𝙤𝙡/𝙄)

• Shift K* into cells:
Give 10 units short-acting 𝑰𝒏𝒔𝒖𝒍𝒊𝒏 + 25 g 𝒈𝒍𝒖𝒄𝒐𝒔𝒆
(250 ml glucose 10%) IV over 15-30 min
(onset in 15-30 min; maximal effect 30-60 min;
duration of action 4-6 h; monitor blood glucose).

Follow up with 10% 𝒈𝒍𝒖𝒄𝒐𝒔𝒆 infusion at 50 ml/h
for 5 h in patients with a pre-treatment blood glucose

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10 Common Antibiotics

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Deep Vein Thrombosis (DVT) - Pathogenesis

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Due to our aging population and an increase in the number of chronic health conditions, there is a strong demand for licensed practical nurses.

One Utah college is trying to fill that need with a new associate's degree.

Find out more about the new program through the link in the comments.

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Learn visually with Osmosis – the all-in-one platform for medical, nursing, and health students & professionals to think clinically and excel.

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Understanding about simplified EKG

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