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differential workup electrocardiogram micu torsadesdepointes admissions admitting algorithm anesthesia anesthesiology angina approach bradycardia cardiomyopathy chf clinical complexes congenital crisis evaluation
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
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
Checklist for Evaluation ... in the ICU Initial ... Relevant drug levels (e.g ... rigidity) Consider EEG ... CriticalCare #Diagnosis
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
Checklist for Treatment of Delirium in the ICU Remove causative factors - Exclude hypoglycemia if
Checklist for Treatment ... interruption (e.g ... #Delirium #Checklist ... #Management #Treatment ... #MICU #CriticalCare
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
DANGER - Short QT ... : ↑ca - Long QT ... #Approach #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
Congenital Long QT ... **Get baseline EKG ... - QT prolonging ... family history) Treatment ... #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
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
- Checklist VITALS ... esp in work-up/management ... will also get an EKG ... #diagnosis #workup ... #criticalcare
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
Raynaud, migraine, etc ... changes on tele/ECG ... tests in cath lab Treatment ... Prinzmetal #Angina #cardiology ... #diagnosis #management
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