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diagnosis ekg checklist treatment electrocardiogram pharmacology torsadesdepointes admissions admitting agents agitation algorithm antiarrhythmics approach cardiomyopathy cerebral chf class1 classi clinical
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
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
Approach to ECGs ... /pacer - QTc ... DANGER - Short QT ... : ↑ca - Long QT ... electrocardiogram #cardiology
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
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
Pain, Agitation, and Delirium (PAD) in the ICU Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... SE: prolonged QTC ... SE: prolonged QTC ... #PAD #ICU #CriticalCare ... #diagnosis #management
Checklist for Treatment of Delirium in the ICU Remove causative factors - Exclude hypoglycemia if
for Treatment of Delirium ... in the ICU Remove ... c deliriogenic meds ... #Management #Treatment ... #MICU #CriticalCare
EKG with Cerebral T Waves in Subarachnoid Hemorrhage ECG of a 45-year-old man who suddenly collapsed to
These ECG changes ... the result of ↑ICP ... There is a long QT ... Cerebral #TWaves #ECG ... Hemorrhage #SAH #Cardiology
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
Class I Antiarrhythmics and their Key Pharmacologic Properties Class IA = Quinidine, Procainamide, Disopyramide ("Quarter PounDer") Class IB
Pickle") Class IC ... in wide QRS on EKG ... results in prolonged QT ... on EKG • Increasing ... Pharmacology #Agents #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 ... #Hypokalemia #Management ... #CriticalCare
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