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diagnosis ekg checklist electrocardiogram treatment bradycardia clinical pharmacology syncope torsadesdepointes admissions admitting agents algorithm antiarrhythmics approach cardiomyopathy cerebral chf class1
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 - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
• ↑ Ca - short QT ... • ↓ Ca - long QT ... • ↓ Mg - long QT ... -500ms) Short QT ... #diagnosis #cardiology
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 ... post-arrest or very long 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
EKG with Cerebral T Waves in Subarachnoid Hemorrhage ECG of a 45-year-old man who suddenly collapsed to
Subarachnoid Hemorrhage ECG ... These ECG changes ... the result of ↑ICP ... There is a long QT ... Hemorrhage #SAH #Cardiology
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Chest Pain • ECG ... Connect ECG Leads ... bradycardia #diagnosis #differential ... #management #cardiology
Bradycardia - Differential Diagnosis Framework and Management Narrow Complex Bradycardia: • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... : 1) PADS ON!! ... epinephrine 4) Page Cardiology ... #Bradycardia #Differential ... #cardiology #criticalcare
Checklist for Treatment of Delirium in the ICU Remove causative factors - Exclude hypoglycemia if
Delirium in the ICU ... c deliriogenic meds ... interruption (e.g ... Delirium #Checklist #Management ... #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
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