13 results
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,
Torsades de Pointes - Management ... Drugs that prolong QT ... Congenital long QT ... • Hypocalcemia ... (rarely) Treatment
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... arrhythmia: - EKG ... changes (especially QT ... route = severe hypokalemia ... #Management #CriticalCare
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... ECG changes, weakness ... ) ECG changes ... removal of offending agent ... #Management
Class I Antiarrhythmics and their Key Pharmacologic Properties

Class IA = Quinidine, Procainamide, Disopyramide ("Quarter PounDer")
Class IB
and their Key Pharmacologic ... in wide QRS on EKG ... results in prolonged QT ... Antiarrhythmics #Pharmacology ... #Agents #Cardiology
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... c deliriogenic meds ... sleeping, administer pharmacologic ... Delirium #Checklist #Management ... #CriticalCare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
suggests total body hypovolemia ... weak inotropic agent ... Revascularization, treatment ... #HeartFailure #Cardiology ... #Management
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
., long QT syndrome ... Hypomagnesemia • Hypokalemia ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology
Antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis
Fluconazole
 - Benefits: Low cost/tolerable
Antifungal agents ... effects in the treatment ... Hepatotoxicity, QTc ... Coccidioidomycosis #pharmacology ... #management #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... patient causing hypovolemia ... #cardiology #treatment ... heartfailure #chf #criticalcare ... icu #clinical #pharmacology