EKG - What do you think?

[KellyBracket]

Hyperkalemia induced failure of pacemaker capture and sensing.

There's a great podcast that reviews the latest, best, evidence for the treatment of hyperkalemia. Emcrit is aimed at emergency medicine physicians, but plenty of medics listen to it.

Some of the main points - calcium first and often, kayexalate is of dubious value (and may be harmful), and albuterol has great clinical evidence to support it. Much better evidence than sodium bicarb, in fact!

 

[Anjel]

Hyperkalemia induced failure of pacemaker capture and sensing.

There's a great podcast that reviews the latest, best, evidence for the treatment of hyperkalemia. Emcrit is aimed at emergency medicine physicians, but plenty of medics listen to it.

Some of the main points - calcium first and often, kayexalate is of dubious value (and may be harmful), and albuterol has great clinical evidence to support it. Much better evidence than sodium bicarb, in fact!

Awesome. Thank you!

 

[bigbaldguy]

Agreed. Seems to me the crew caught it early on and serial 12-leads revealed the progression of the MI.

I looked at the first 12-lead and disagreed with you then realized there was another one

His potassium is also likely high, given the T wave morphology. Although it is possible that could also be because of the underlying heart disease and the acute injury.

Depending on how well the Pts medical conditions are controlled the dehydration from the GI issues could have tipped him into kidney failure.

:O You guys are my heroes