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diagnosis ekg checklist electrocardiogram torsadesdepointes admissions admitting antiarrhythmics approach class1 classi hypokalemia interpretation jehovahs patient pearls pharmacology qrs short syndrome
Torsades de Pointes •Precipitated by drugs that prolong the QT interval •Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... interval •Class ... quinidine) •Class IC ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Short QT Syndrome Short QT syndrome (SQTS) is a very rare, recently described syndrome in which an
Short QT Syndrome ... interval (QTc < ... in 6 different genes ... Syndrome #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
that prolong the QT ... interval ... quridine) 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 ... dextrocardia, normal Intervals ... DANGER - Short QT ... : ↑ca - Long QT ... electrocardiogram #cardiology
Management of Jehovah's Witness patient in ICU Clarify which products may be used - Discuss
Management of Jehovah's ... Witness patient in ICU ... spaced at wide intervals ... #CriticalCare # ... Management
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
Class I Antiarrhythmics and their Key Pharmacologic Properties Class IA = Quinidine, Procainamide, Disopyramide ("Quarter PounDer") Class IB
in wide QRS on EKG ... results in prolonged QT ... on EKG • Increasing ... #Pharmacology #Agents ... #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
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