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diagnosis treatment electrocardiogram torsadesdepointes differential pharmacology workup admissions admitting agents anesthesia anesthesiology antiarrhythmics approach bradycardia cardiomyopathy cerebral chf class1 classi
Torsades de Pointes •Precipitated by drugs that prolong the QT interval •Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... quinidine) •Class IC ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
that prolong the QT ... quridine) Class IC ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
/pacer - QTc ... DANGER - Short QT ... : ↑ca - Long QT ... #Approach #ECG ... #EKG #diagnosis
EKG with Cerebral T Waves in Subarachnoid Hemorrhage ECG of a 45-year-old man who suddenly collapsed to
EKG with Cerebral ... Subarachnoid Hemorrhage ECG ... These ECG changes ... There is a long QT ... Cerebral #TWaves #ECG
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
Pediatric SVT - Management ... Algorithm Identify ... : HR > 180bpm ECG ... Maneuvers - Ice ... #Algorithm #peds
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
Congenital Long QT ... **Get baseline EKG ... - QT prolonging ... abnormalities - Avoid QTc ... Syndrome #Diagnosis #Cardiology
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... changes (especially QT ... their validity (e.g ... clinical context & EKG ... #CriticalCare
Checklist for Treatment of Delirium in the ICU Remove causative factors - Exclude hypoglycemia if
Delirium in the ICU ... interruption (e.g ... in the night (e.g ... #Management #Treatment ... #MICU #CriticalCare
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
- Checklist VITALS ... hyponatremia, AKI, etc ... esp in work-up/management ... will also get an EKG ... diagnosis #workup #criticalcare
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