EKG of pt. 54yo female hx: esrd, htn,dm c/o "I feel like I | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

54yo female
hx: esrd, htn, dm
c/o "I feel like I am going to die"
HR 180, BP 160/95, RR 35
name the rhythm and treatment!


Similar cases



51 Yof C/C weakness x2 days. Hx of uncontrolled IDDM, CHF, renal failure. Non-compliant with dialysis schedule or medications. BGL read "HI". Only other complaint is 1 episode of diarrhea



70 y/o male, c/o weakness x 6 hours. Hx HTN, DM, high cholesterol. Normotensive. BGL 353 mg/dL. CO2 25 mm Hg. RR 16, SpO2 96% on RA. HR 30 w/ peeked T waves, suggestive of hyperkalemia. Family states last time this happened, pt. was dialyzed in ER & required transcutaneous pacing. FD administered Zofran and 0.5 mg Atropine w/o change, IV infiltrated & site showed extravisation. Pacing pads placed as precaution. Pt. transported w/o incident. IV access re-established, blood drawn for POC lactate and K+ level, which was 6.8! Pt. tx in ER w/ success.



62yom s/p deceased donor kidney tx. K of 7.0 What is your immediate treatment? Sorry if the number is hard to see.



severe hyperkalaemia K 8.7

Trending now



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?