ACLS Differential Diagnosis Table---PATCH(4)MDS---
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| Problem |  |
|
| Assess | |
|
| Possible Interventions | |
|
| P) pulmonary embolism | No pulse w/ CPR, JVD | Thrombolytics, surgery |
| A) acidosis (preexisting) | Diabetic/ renal patient | Sodium Bicarbonate, hyperventilation |
| T) tension pneumothorax | No pulse w/ CPR, JVD, tracheal deviation | Needle thoracostomy |
| C) cardiac tamponade | No pulse w/ CPR, JVD, narrow pulse pressure prior to arrest | Pericardiocentesis |
| H) hyperkalemia (preexisting) | Renal patient, EKG, serum K level | Sodium Bicarbonate, Calcium chloride, albuterol nebulizer, insulin/ glucose, dialysis, diuesis, Kayexalate |
| H) hypokalemia | EKG, serum K level | Treat w/ great prudence after careful assessment of the cause. "K can kill." |
| H) hypovloemia | Collapsed vasculature | Fluids |
| H) hypoxia | Airway, cyanosis | Oxygen, ventilation |
| M) myocardial infarct | History, EKG | Acute Coronary Syndrome algorithm |
| D) drugs | Medications, illicit drug use, toxins | Treat accordingly |
| S) shivering | core temperature | Hypothermia Algorithm |
|
