✍ 11🍎🍏 Notes of ECG ✍ | United States America (US)

Create: 2024-04-03 Update: 2024-05-31 23:47:36

‍ ‍ ‍ ⁉️ اگر بیمار دچار QT طولانی و آریتمی TDP شد چکار کنیم ؟

📕 اگر بیمار همودینامیک غیر پایدار داشت ، علامت دار بود و یا بدون نبض بود ، بلافاصله DC شوک بدهید.

💉 تنها دارو در این مرحله تزریق IV منیزیم می باشد.

📗 اگر بیمار سنکوب دارد ولی مدارکی جهت اثبات QT طولانی و TDP نداریم ، لذا ECG بگیرید و بیمار را مانیتورینگ کنید.

📒 اگر بیمار در ECG شواهدی از غیر پایدار بودن را نشان می دهد( مثلاً PVC ، آلترنانس موج T ، بلوک AV یا QRS پهن ) در این مرحله بیمار تحت نظر باشد و مانیتورینگ شود.

📘 در صورت TDP ، شوک و دارو بدهید.

📙 اما اگر بیمار نه TDP دارد و نه سنکوب دارد ، لذا در این مرحله توصیه می شود بیمار در مرحله ی Withdraval مصرف دارو ، تحت مانیتورینگ باشد به خصوص هنگامی که
QTc > 500 ms
یا QTc به میزان 60ms بیشتر از Base line قبل از مصرف دارو باشد ، باید بیمار مانیتور شود.

📚 جدیدترین نکات تخصصی در تفسیر ECG :
در کاملترین ، تخصصی ترین و به روز ترین کتاب
1100 Notes of ECG

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✍ 11🍎🍏 Notes of ECG ✍

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✍ 11🍎🍏 Notes of ECG ✍

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‍ ‍ ‍ ⁉️ اگر بیمار دچار QT طولانی و آریتمی TDP شد چکار کنیم ؟

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