October 22, 2015

Very wide QRS rhythm

An adult pt came in with h/o of HTN, DM 2 and end-stage renal disease is c/o dyspnea and change in sensorium.

Image 1

This is a VERY WIDE QRS rhythm. Consider toxic and metabolic causes.

The K  was 8.5. Because of the dyspnea, pt was intubated. Calcium gluconate, NaHCO3, insulin and kayexalte was given. Dialysis was also done. After a few days pt was discharged.


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