Really Wide QRS Tachycardia



A 50yo pt with h/o of HTN, DM  and end-stage renal disease is admitted due to dyspnea and change in sensorium.

 
Figure 1
 
This looked like the REALLY WIDE QRS tachycardia mentioned in Dr. Amal Mattu's blog --->>> Consider toxic/metabolic causes. The K came back 8.5 (hyperkalemia). Because of the dyspnea, pt was intubated and  calcium gluconate, NaHCO3, insulin and kayexalte were given. Patient was dialyzed. After a few days pt was discharged improved.

#240

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