14 results
Hypokalemia on EKG 

Patient presenting with severe weakness.  Patient had GI bug with vomiting/diarrhea.
Hypokalemia on EKG ... Had K+ 1.7 along ... Has flattened t-waves ... RJonesSonoEM #UWaves ... #Hypokalemia #EKG
T-Wave ECG changes in Hyperkalemia vs Hyperacute MI
 - Hyperkalemia: Increased height, without increase area
 -
T-Wave ECG changes ... Ferdous @fazalabul #TWaves ... #ECG #Hyperkalemia ... #ekg #electrocardiogram ... #comparison
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
EKG "Mild" Hyperkalemia ... narrow-based T Waves ... Loss of visible P waves ... rhythm • "Sine wave ... both the absolute K+
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... depletion • Consider K+ ... amplitude of P waves ... - Absence of T wave ... #algorithm #treatment
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
Typical ECG ... HR 30, peaked T waves ... flattening of P waves ... ↑HR and drives K+ ... Syndrome #diagnosis #management
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... (peaked T waves, ... not quickly) #Hyperkalemia ... #Management
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
3 different P wave ... hypertension Management ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #EKG #Management
Hyperkalemia (7.2) on ECG

HyperK is known as the Great Masquerader on ECG bc it can take
Hyperkalemia (7.2 ... shape of all the T waves ... see this think ↑K+ ... K+ was 7.2 ! ... #Clinical #Cardiology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... heparinized tube) • ECG ... bradycardia → sine wave ... Terbutaline 7 µg/kg ... #Treatment #potassium
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
non-conducted P wave ... Brady Management ... Non-conducted P waves ... summary #Diagnosis #EKG ... #cardiology