07-24-2007, 05:32 PM
So Digoxin is causing Hyper K. I would still give PM until she is stabalized. ???
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cardiology cont.... - sof
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07-24-2007, 05:35 PM
Hard times, you confused the hell out of Saltrez, he is thinking what does this have to do with my score?????????????? LOL LOL
07-24-2007, 05:37 PM
I think its only pacing without giving IV Atropine.Since pt. is having symptoms of N, V, dizzinness past 5 days & she seems to be stable with a heart rate of 48 beats/min at this moment.
Moreover IV atropine is kept for any ER condition.
07-24-2007, 05:38 PM
OK SOF give it to us, I reaaaaaaaaly gotta go to bed
07-24-2007, 05:44 PM
you all wil make really fine cardiologists
no really this one was tuff ..got it wrong 2wice myself. this pt has classic symptoms of dig toxicity.her EKG shows findings cosistent with the Dx Most likely her renal function has worsened due to contrast nephropathy following her previous cath and her dig clearance has likely diminished DIG toxicity results in worsening AV node blockade& increased automaticity of ventricles including junctional myocardium.thus a wide spectrum of arrythmias can b observed 3rd AV BLOCK v tach v fivb....OBTAINING a serum DIG LEVEL and holding dose is crucial in Mx on this pt! |
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thanks sof!