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diagnosis checklist torsadesdepointes differential admissions admitting cardiomyopathy chf clinical complexes congenital delirium foamed heartfailure hyperkalemia longqt micu pearls pediatric peripartum
Torsades de Pointes •Precipitated by drugs that prolong the QT interval •Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... quinidine) •Class IC ... hypomagnesemia, hypokalemia ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
that prolong the QT ... quridine) Class IC ... Hypomagnesemia Hypokalemia ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
Algorithm Identify ... : HR > 180bpm ECG ... Maneuvers - Ice ... #Algorithm #peds ... #Pediatric #treatment
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 ... Syndrome #Diagnosis #Cardiology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Algorithm Drugs ... that prolong QT ... Congenital long QT ... (rarely) Treatment ... #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 ... #Management #CriticalCare
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Treatment Algorithm ... ECG changes, weakness ... ) ECG changes ... #Treatment #Algorithm ... #Management
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 ... #Treatment #MICU ... #CriticalCare
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... hyponatremia, AKI, etc ... esp in work-up/management ... will also get an EKG ... diagnosis #workup #criticalcare
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
arrhythmia syndromes (e.g ... ., long QT syndrome ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... more intensive treatment
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