SAQ 937 – Toxicology – elderly patient with abnormal ECG and deterioration

An 83-year-old man with atrial fibrillation presents with two weeks of lethargy, anorexia and dehydration.

His triage ECG is shown below.

Describe the key features of the ECG.

(Marked out of 3.0)

/ 3

List three possible causes of these ECG abnormalities.

(Marked out of 3.0)

/ 3

His blood results show K 6.4 mmol/L, urea 20 mmol/L, creatinine 200 micromol/L and digoxin 3.0 nmol/L. His heart rate falls to 30/min with SBP 100 mmHg. List five treatment steps.

(Marked out of 5.0)

/ 5

Briefly explain the controversy about IV calcium in this context.

(Marked out of 2.0)

/ 2

Total Score: 0 / 13

Percentage: 0%