14 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
Precipitated by drugs ... quinidine) •Class IC ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Common sodium channel blockers which cause QRS widening.

Anticonvulsants: 
 - Carbamazepine 
Antidysrhythmics:  
 - Group
- Group IA and IC ... Antimalarial drugs ... QRS #widening #ECG ... #EKG #Pharmacology ... Medications #Toxicology #Diagnosis
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
precipitated by drugs ... quridine) Class IC ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Delirium in the ICU ... - Relevant drug ... levels (e.g. lithium ... rigidity) Consider EEG ... Diagnosis
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... Rate - 300 / big ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... Patients DIE: Drugs ... #bradycardia #diagnosis
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
normalize the ABG ... the patient's diagnosis ... (e.g. pneumonia ... hypoventilation due to drug ... #Management #CriticalCare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
potentially causative drugs ... septic shock (e.g ... resuscitation (e.g ... choledolithiasis (e.g ... #Management #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... : • For most ICU ... will also get an EKG ... Pearls #Checklist #diagnosis ... #workup #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... #treatment #table ... heartfailure #chf #criticalcare ... #icu #clinical ... #pharmacology