Torsades de pointes: Difference between revisions
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#Magnesium | #Magnesium | ||
##1-2gm IV over 1-2 min; then 1-2gm/hr gtt | ##1-2gm IV over 1-2 min; then 1-2gm/hr gtt | ||
#Overdrive | #[[Overdrive Pacing]] | ||
##Goal HR 90-120 | ##Goal HR 90-120 | ||
#Isoproterenol | #Isoproterenol | ||
Revision as of 12:28, 7 January 2014
Background
- Most commonly occurs in pts w/ prolonged QT due to heart diseaes or meds:
- Procainamide
- Phenothiazine
- TCAs
- Qunidine
- Disopyramide
Treatment
- Magnesium
- 1-2gm IV over 1-2 min; then 1-2gm/hr gtt
- Overdrive Pacing
- Goal HR 90-120
- Isoproterenol
- 2-8 mcg/min
See Also
Source
- Tintinalli