doc_clotaire
Forum Guru
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A 45-year-old woman has a history of asymptomatic ventricular couplets, for which she had been placed on quinidine. A week after this intervention, she experiences a syncopal episode and is brought to the emergency department. Her electrolytes are within normal limits. She is placed on a cardiac monitor and is noted to have a transient wide complex tachycardia with waves of alternating morphology. She appears to be in torsades de pointes. Which of the following is the most appropriate next step?
A. Check the level of serum calcium
B. Discontinue quinidine and observe
C. Increase the quinidine dose
D. Administer IV potassium
E. Apply 360 J of defibrillating current
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The elevator to succes is broke ,you must take the stairs
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| robin082006
Forum Hero
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B. Discontinue quinidine and observe
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The Key to Succeed is Patience.
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| monterusca2004
Forum Junior
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I would give her a electric shock, but not sure
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| monterusca2004
Forum Junior
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IT should say something about hemdinamic status of the patient.
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| doc_clotaire
Forum Guru
Topics: 159
Posts: 1,248
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B )
NSIM of torsades de pointes secondary to quinidine
Easy ...............stop the drug
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The elevator to succes is broke ,you must take the stairs
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