A Week in Review: Oct 16th - 21st
The expected increase is about 0.5 mEq/dL
Exaggerated Response in: stroke, MS, GBS, Hemi/paraplegia, severe burns, spinal cord injury, prolonged immobilization.
Safe within 24 hrs of a burn, but avoid 1-2 years following burn.
A patient with myasthenia gravis requires a HIGHER dose of succinylcholine, 1.5-2.0mg/kg or approximately double the dose
a LOWER dose of non-depolarizing agents like rocuronium and vecuronium.
Anticipate a longer duration of paralysis in myasthenia patients undergoing neuromuscular blockade.
Confirm < 48 hour onset or on effective anticoagulation.
General recommendations: start all patients with a CHA2DS-VASc >/=1 on anticoagulation whether or not you cardiovert.
Multiple studies show diltiazem is superior but avoid in CHF patients.
What infection causes Acute Chest Syndrome?