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diagnosis treatment checklist differential digoxin electrocardiogram icu admissions admitting balance bradycardia cardiomyopathy clinical congenital diuresis effect evaluation fluid foamed head
Electrocardiographic Features of Digoxin Toxicity • Virtually any arrhythmia is possible. None specific for digoxin toxicity
AV conduction) "Digitalis ... Shortening of QT ... Electrocardiogram #ekg ... #ecg #toxicology ... #cardiology #diagnosis
Digoxin effect on Electrocardiogram (EKG) Digoxin is a cardiac glycoside from the foxglove leaf Mechanism - Inhibits Na-K
Electrocardiogram (EKG ... Digoxin effect on ECG ... waves - Short QT ... #Cardiology #Digitalis ... #ECG
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
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... AMS, SOB from CHF ... Chest Pain • ECG ... Connect ECG Leads ... #cardiology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Torsades de Pointes - Management ... Algorithm Drugs ... that prolong QT ... Congenital long QT ... #Algorithm
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
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Control rate (e.g ... pulmonary disease or CHF ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
Diuresis in Critical Care - Achieving a Negative Fluid Balance Advantages Of A Negative Fluid Balance: •
in the later (e.g ... REMOVE UNECCESARY MEDS ... aldosterone states (CHF ... Fluid #Balance #management ... #criticalcare
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... esp in work-up/management ... miss MDR bugs) MEDS ... will also get an EKG ... diagnosis #workup #criticalcare
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... (e.g., ACE/ARB) ... #cardiology #treatment
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