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diagnosis checklist torsadesdepointes treatment algorithm antiarrhythmics clinical delirium electrocardiogram table workup admissions admitting agents agitation anesthesia anesthesiology arteries cardiomyopathy chf
Torsades de Pointes •Precipitated by drugs that prolong the QT interval •Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... interval •Class ... quinidine) •Class ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Class I Antiarrhythmics and their Key Pharmacologic Properties Class IA = Quinidine, Procainamide, Disopyramide ("Quarter PounDer") Class IB
Class I Antiarrhythmics ... Properties Class ... in wide QRS on EKG ... results in prolonged QT ... on EKG • Increasing
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
that prolong the QT ... interval Class ... quridine) Class ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Antiarrhythmics - Vaughan Williams Classification Class I (Ia, Ib, Ic) - Na+ Channel Blockade • Slows depolarization
Classification Class ... Widens QRS complex Class ... potential • Prolongs QT ... interval Class ... #cardiology #pharmacology
Electrocardiographic Features of Digoxin Toxicity • Virtually any arrhythmia is possible. None specific for digoxin toxicity
digoxin toxicity • Classic ... Shortening of QT ... Electrocardiogram #ekg ... #ecg #toxicology ... #cardiology #diagnosis
Classic EKG triad of long QT, ST-depression, and PVCs in Hypokalemia Worry about hypokalemia; this patient had
Classic EKG triad ... of long QT, ST-depression ... LongQTC #PVCs #EKG ... #ECG #Electrocardiogram ... #Cardiology #Clinical
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Drugs that prolong QT ... interval: • Class ... disopyramide) • Class ... flecainide) • Class ... Congenital long QT
d-Transposition of the Great Arteries • Anatomy • Epidemiology • Associated Lesions • Pathophysiology/Presentation • Classic
Presentation • Classic ... Chest Xray – “Egg ... Pre-operative management ... Great #Arteries #peds ... #pediatrics #cardiology
Pain, Agitation, and Delirium (PAD) in the ICU Addressing the ICU Triad (PAD) can be accomplished through
No pharmacologic ... (Haldol) - No pharmacologic ... SE: prolonged QTC ... #CriticalCare # ... diagnosis #management
Checklist for Treatment of Delirium in the ICU Remove causative factors - Exclude hypoglycemia if
interruption (e.g ... sleeping, administer pharmacologic ... in the night (e.g ... Delirium #Checklist #Management ... #CriticalCare
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