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diagnosis checklist ekg antiarrhythmics torsadesdepointes treatment admissions admitting agents algorithm approach chf class1 classes classi classification clinical delirium differential electrocardiogram
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
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
Antiarrhythmics - Vaughan Williams Classification Class I (Ia, Ib, Ic) - Na+ Channel Blockade • Slows depolarization
Class I (Ia, Ib, Ic ... potential • Prolongs QT ... interval Class ... Classification #Classes #cardiology ... #pharmacology
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
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
Delirium in the ICU ... c deliriogenic meds ... sleeping, administer pharmacologic ... 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
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... #cardiology #treatment ... heartfailure #chf #criticalcare ... #icu #clinical ... #pharmacology
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