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

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

Which Phase(s) was/wereaffected by the last drug?

Which Phase(s) was/wereaffected by the last drug?

This patient took a “downer” last night, today is having this rhythm. If it gets worse, what Rx?

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)?

1) the plant?2) The rhythm?3) The treatment(s)?

Can you name the lead singer in this band?Can you name the lead singer in this band?

Pt is drowsy, has a dry mouthAnything suspect here?

Pt is drowsy, has a dry mouthAnything suspect here?

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

Another hint…..Now, name 2 drugs that can cause it.

Another hint…..Now, name 2 drugs that can cause it.

Which Phase(s) was/wereaffected by the last drug?

Which Phase(s) was/wereaffected by the last drug?

Which was producedby the last drug?

Which was producedby the last drug?

AA

BB

The patient has BP 70/40.History of hypertension. Rx?

The patient has BP 70/40.History of hypertension. Rx?

Expected BP and HR?Expected BP and HR?

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

When George made a tea from these seed pods, hedeveloped hallucinations and had trouble urinating.

What was his heart rate? (Fast or slow)

When George made a tea from these seed pods, hedeveloped hallucinations and had trouble urinating.

What was his heart rate? (Fast or slow)

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

A.A. Harry’s HR is probably fastHarry’s HR is probably fast

B.B. Harry needs to go to the ERHarry needs to go to the ER

C.C. Harry needs IV fluidsHarry needs IV fluids

D.D. Harry needs a hair transplantHarry needs a hair transplant

E.E. Harry’s BP is probably elevatedHarry’s BP is probably elevated

HR 38/min, BP 158/105Treatment?

HR 38/min, BP 158/105Treatment?

Child drinks bottle of Visine.Expected HR =Expected BP =

Child drinks bottle of Visine.Expected HR =Expected BP =

What electrolyte abnormality is likely?What electrolyte abnormality is likely?

Last rhythm just got worse…treatment?What drug may be contraindicated?

Last rhythm just got worse…treatment?What drug may be contraindicated?

TCA overdose with wide QRS intervalTCA overdose with wide QRS interval

TCAs & Type Ia antiarrhythmicsBlock Phase 0 and Phase 3

TCAs & Type Ia antiarrhythmicsBlock Phase 0 and Phase 3

Chloral hydrate OD with PVCs. Best Rx = beta blockersChloral hydrate OD with PVCs. Best Rx = beta blockers

1) the plant = Foxglove2) The rhythm = junctional3) The treatment(s) = atropine, Digibind

1) the plant = Foxglove2) The rhythm = junctional3) The treatment(s) = atropine, Digibind

Lee Harvey and the Oswalds?Lee Harvey and the Oswalds?

Rightward axis of the t-40 msecRightward axis of the t-40 msec

TorsadesTorsades

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

Phase 3Phase 3

Early afterdepolarizations (A)Early afterdepolarizations (A)

AA

BB

Verapamil OD – Rx CalciumVerapamil OD – Rx Calcium

Expected BP and HR = elevatedContains ephedrine & caffeine

Expected BP and HR = elevatedContains ephedrine & caffeine

Caffeine – a fib or MAT – Rx beta blockerCaffeine – a fib or MAT – Rx beta blocker

When George made a tea from these seed pods, hedeveloped hallucinations and had trouble urinating.What was his heart rate? = Fast (anticholinergic)

When George made a tea from these seed pods, hedeveloped hallucinations and had trouble urinating.What was his heart rate? = Fast (anticholinergic)

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

A.A. Harry’s HR is probably fastHarry’s HR is probably fast

B.B. Harry needs to go to the ERHarry needs to go to the ER

C.C. Harry needs IV fluidsHarry needs IV fluids

D.D. Harry needs a hair transplantHarry needs a hair transplant

E.E. Harry’s BP is probably elevatedHarry’s BP is probably elevated

HR 38/min, BP 158/105Rx = vasodilator (eg, Nipride, phentolamine)

HR 38/min, BP 158/105Rx = vasodilator (eg, Nipride, phentolamine)

Child drinks bottle of Visine.Expected HR = slow

Expected BP = decreased (poss transient incr)

Child drinks bottle of Visine.Expected HR = slow

Expected BP = decreased (poss transient incr)

What electrolyte abnormality is likely? Hyperkalemia

What electrolyte abnormality is likely? Hyperkalemia

Last rhythm just got worse…treatment?What drug may be contraindicated? If DIGOXIN involved, AVOID Calcium

Last rhythm just got worse…treatment?What drug may be contraindicated? If DIGOXIN involved, AVOID Calcium