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Interpretation of neonatal and pediatric electrocardiograms (ECG)

…fever, hypovolemia, dehydration, anemia, hyperthyroidism and myocarditis are common etiologies. Treatment of the underlying cause should resolve the sinus tachycardia. Sinus arrhythmia Sinus arrhythmia (respiratory…

Endotracheal intubation

…severe hypoxaemia below 80 % (1 point), and the intubator not being an anaesthetist (1 point). A score of 3 or more indicates a difficult intubation…

🟠 QT Drugs: Drugs causing QT prolongation, torsade de pointes (TdP) and long QT syndrome (LQTS)

Info A comprehensive list of conditions and drugs that may prolong the QT interval, and cause torsade de pointes (TdP) and long QT syndrome (LQTS…

ECG changes caused by antiarrhythmic drugs, beta blockers & calcium channel blockers

…Hypokalemia is likely to predispose to the pro arrhythmic effects of disopyramide. Structural heart disease also increases the risk of developing arrhythmias during disopyramide treatment…

🟠 Fenoldopam

…Flushing. Tachycardia. Nausea. Hypokalemia. Increased intra ocular pressure in patients with glaucoma. Caution Used cautiously in patients with glaucoma or increased intracranial pressure. Fenoldopam doses…

Torsades de Pointes: Definition, Characteristics, and Management

…in the setting of both modifiable and nonmodifiable risk factors. Modifiable risk factors include electrolyte abnormalities such as hypokalemia, the co administration of multiple QT…

Cardiac arrest due to electrolyte imbalance

…mg IV. Pamidronate 30 90 mg IV. Causal treatment of the underlying cause. Hypocalcemi Hypocalcemia may arise from various causes, including acute pancreatitis, alkalosis due…

Indications for pacemaker

ECG Indications for pacemaker implantation Bradyarrhythmia is the main indication for the implantation of a pacemaker. When considering a permanent pacemaker for bradyarrhythmia, it is…

QT duration & corrected QT (QTc) duration: ECG features & implications

…of prolonged QTc duration Antiarrhythmics (procainamide, disopyramide, amiodarone, sotalol) Psychiatric medications (tricyclic antidepressants, SSRI, lithium etc) Antibiotics (macrolides, kinolones, atovaquone, klorokine, amantadine, foscarnet, atazanavir) Hypokalemia…

Sotalol: Initiation, QT Monitoring and Renal Dosing

Arrhythmias and arrhythmology Pharmacology & dosing Definition and Pathophysiology Sotalol is a nonselective beta adrenoceptor blocker devoid of intrinsic sympathomimetic activity that also prolongs cardiac repolarization…

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