Pt is comatose had a seizure bp 80 40 can you name the drug overdose
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Pt is comatose, had a seizure. BP 80/40 Can you name the drug overdose? PowerPoint PPT Presentation


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Pt is comatose, had a seizure. BP 80/40 Can you name the drug overdose?. Which Phase(s) was/were affected by the last drug?. This patient took a “downer” last night, today is having this rhythm. If it gets worse, what Rx?. 1) the plant? 2) The rhythm? 3) The treatment(s)?.

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Pt is comatose, had a seizure. BP 80/40 Can you name the drug overdose?

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Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Pt is comatose, had a seizure. BP 80/40

Can you name the drug overdose?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Which Phase(s) was/were

affected by the last drug?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

This patient took a “downer” last night, today is

having this rhythm. If it gets worse, what Rx?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

1) the plant?

2) The rhythm?

3) The treatment(s)?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Can you name the lead singer in this band?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Pt is drowsy, has a dry mouth

Anything suspect here?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Name this rhythm. (Hint: it comes in brief runs)


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Another hint…..

Now, name 2 drugs that can cause it.


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Which Phase(s) was/were

affected by the last drug?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

A

Which was produced

by the last drug?

B


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

The patient has BP 70/40.

History of hypertension. Rx?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Expected BP and HR?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

This patient took No-Doz. What is the rhythm? Rx?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

When George made a tea from these seed pods, he

developed hallucinations and had trouble urinating.

What was his heart rate? (Fast or slow)


Harry accidentally drank a mouthful of his rogaine all of the following are true except one

Harry accidentally drank a mouthful of his Rogaine. All of the following are true EXCEPT one:

  • Harry’s HR is probably fast

  • Harry needs to go to the ER

  • Harry needs IV fluids

  • Harry needs a hair transplant

  • Harry’s BP is probably elevated


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

HR 38/min, BP 158/105

Treatment?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Child drinks bottle of Visine.

Expected HR =

Expected BP =


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

What electrolyte abnormality is likely?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Last rhythm just got worse…treatment?

What drug may be contraindicated?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

TCA overdose with wide QRS interval


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

TCAs & Type Ia antiarrhythmics

Block Phase 0 and Phase 3


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Chloral hydrate OD with PVCs. Best Rx = beta blockers


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

1) the plant = Foxglove

2) The rhythm = junctional

3) The treatment(s) = atropine, Digibind


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Lee Harvey and the Oswalds?


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Rightward axis of the t-40 msec


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Torsades


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

2 drugs that can cause it = quinidine; droperidol, etc


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Phase 3


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

A

Early afterdepolarizations (A)

B


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Verapamil OD – Rx Calcium


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Expected BP and HR = elevated

Contains ephedrine & caffeine


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Caffeine – a fib or MAT – Rx beta blocker


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

When George made a tea from these seed pods, he

developed hallucinations and had trouble urinating.

What was his heart rate? = Fast (anticholinergic)


Harry accidentally drank a mouthful of his rogaine all of the following are true except one1

Harry accidentally drank a mouthful of his Rogaine. All of the following are true EXCEPT one:

  • Harry’s HR is probably fast

  • Harry needs to go to the ER

  • Harry needs IV fluids

  • Harry needs a hair transplant

  • Harry’s BP is probably elevated


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

HR 38/min, BP 158/105

Rx = vasodilator (eg, Nipride, phentolamine)


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Child drinks bottle of Visine.

Expected HR = slow

Expected BP = decreased (poss transient incr)


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

What electrolyte abnormality is likely?

Hyperkalemia


Pt is comatose had a seizure bp 80 40 can you name the drug overdose

Last rhythm just got worse…treatment?

What drug may be contraindicated?

If DIGOXIN involved, AVOID Calcium


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