tag:blogger.com,1999:blog-549949223388475481.post225779544444957727..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Patient with severe DKA, look at the ECGUnknownnoreply@blogger.comBlogger2125tag:blogger.com,1999:blog-549949223388475481.post-72985936246828427802017-02-18T05:42:42.827-06:002017-02-18T05:42:42.827-06:00Superb case by Dr. Smith that illustrates how the ...Superb case by Dr. Smith that illustrates how the initial ECG in a patient with DKA may provide immediate invaluable insight into optimal clinical management. Although one’s attention is initially drawn to significant ST depression (especially in lateral leads) on this tracing — the more important finding (as emphasized by Dr. Smith) — is that “extra-little-hump” that appears at the tail end of the T wave in virtually all chest leads. This is a giant U wave — which when seen to be taller than its preceding T wave in a patient with diffuse ST depression and an acute metabolic disorder (such as DKA), is strongly suggestive of life-threatening hypokalemia. So the initial ECG in an acutely ill patient with DKA can provide important information as to whether initial serum K+ values might be higher than expected (in which case K+ replacement may need to be delayed a bit) — or as in this case, whether profound K+ depletion that may be life-threatening is already likely to be present.ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-39964210345854977682017-02-03T07:10:22.158-06:002017-02-03T07:10:22.158-06:00Interesting topic
Thanks
Interesting topic<br />Thanks<br />Anonymoushttps://www.blogger.com/profile/08392980484679894369noreply@blogger.com