9 results
Torsades de Pointes 
•Precipitated by drugs that prolong the QT interval 
•Class IA antidysrhythmics (procainamide, quinidine)
that prolong the QT ... hypokalemia) #TorsadesDePointes ... #Diagnosis #Cardiology ... #ECG #EKG
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
that prolong the QT ... Hypokalemia #TorsadesDePointes ... #Diagnosis #Cardiology ... #ECG #EKG
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
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Algorithm Drugs ... that prolong QT ... Congenital long QT ... VentricularTachycardia #TorsadesdePointes ... #Algorithm
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 • Decrease demand — correct metabolic
the Ventilator - Algorithm ... , overfeeding, etc ... long lasting pain meds ... #Extubation #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
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
hyponatremia, AKI, etc ... esp in work-up/management ... miss MDR bugs) MEDS ... 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 ... #differential #algorithm ... #management #cardiology ... heartfailure #chf #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Obtain EKG if: ... Cataract Plan for Meds ... one post op Cardiology ... medical and surgical management