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ekg differential electrocardiogram checklist clinical icu torsadesdepointes admissions admitting algorithm approach cheatsheet chf complexes congenital echocardiogram elevation emergency foamed heartfailure
Torsades de Pointes •Precipitated by drugs that prolong the QT interval •Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... hypomagnesemia, hypokalemia ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... • QT interval is ... = QT / √ RR - ... thumb: a normal QT ... #cardiology #diagnosis
Torsades de Pointes • "Twisting of the pointes" • QRS axis swings from positive to negative direction
that prolong the QT ... Hypomagnesemia Hypokalemia ... TorsadesDePointes #Diagnosis ... #Cardiology #ECG ... #EKG
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
ICD/pacer - QTc ... DANGER - Short QT ... : ↑ca - Long QT ... #EKG #diagnosis ... #interpretation
Congenital Long QT Syndrome: Illness Script Who? - Kids or young adults, usually < 30 - high
Congenital Long QT ... **Get baseline EKG ... - QT prolonging ... LongQT #Syndrome #Diagnosis ... #Cardiology
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach to Hypokalemia ... arrhythmia: - EKG ... changes (especially QT ... route = severe hypokalemia ... #Management #CriticalCare
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
and a prolonged QT ... Disorders: • Hyperkalemia ... waves - Short QT ... waves • Short QT ... #cardiology #ecg
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
., long QT syndrome ... Hypomagnesemia • Hypokalemia ... Differential Diagnosis ... Complexes #PVCs #PVC #diagnosis ... #differential #cardiology
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... esp in work-up/management ... will also get an EKG ... Pearls #Checklist #diagnosis ... #workup #criticalcare
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... patient causing hypovolemia ... #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare
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