Crossword Puzzles:
Antidotes Used In Toxicology

Orthopedics

BuiltWithNOF
February EKG 2008 Answer Key

A 35 year old male presents to the ED with palpitations and diaphoresis for one hour.  His BP is 110/70 and he is awake and talking. He has no chest pain.  You obtain    EKG # 1 and you treat him with a ______________ IV medication and his rhythm changes to EKG # 2. He now feels much better.

What is your diagnosis of EKG # 1?    Regular tachycardia (?wide complex QRS 0.14)

What IV medication did you give to treat EKG # 1? This is a real case, this patient received adenosine

What does EKG #2 show:

 Rate:   75

 Rhythm: sinus

 Axis:   90

 PR:   0.12

 QRS:  0.12

 ST:   normal

EKG #2 diagnosis? 

    • Sinus r/o Wolff Parkinson White (WPW), note the delta wave

After seeing EKG #2, what IV meds are contraindicated if this patient becomes tachycardic again?

    • Beta blockers, calcium channel blockers, digoxin

What IV meds could be used if he does become tachycardic again?

    • Amiodarone, procainamide

 

[St Barnabas Hospital] [Tintinalli & Rosen's Quiz] [Radiology Case Studies] [Cardiology Case Studies] [2004-05 EKG Quizzes] [2005-06 EKG Quizzes] [2006-07 EKG Quizzes] [2007-08 EKG Quizzes] [2008-09 EKG Quizzes] [Conference] [Lectures] [Teaching Files] [Board Review] [Links] [Residency Program] [Research] [Senior Party] [Shetty's Farewell] [Senior Party 2008]