April 5, 2016

Really Wide QRS Tachycardia

A 50yo pt with h/o of HTN, DM  and end-stage renal disease is admitted due to dyspnea and change in sensorium.

Figure 1
This looked like the REALLY WIDE QRS tachycardia mentioned in Dr. Amal Mattu's blog --->>> Consider toxic/metabolic causes. The K came back 8.5 (hyperkalemia). Because of the dyspnea, pt was intubated and  calcium gluconate, NaHCO3, insulin and kayexalte were given. Patient was dialyzed. After a few days pt was discharged improved.


No comments:

Post a Comment

Note: Only a member of this blog may post a comment.