1 thought on “ECG of the Week – March 20th 2019

  1. History of renal failure and diabetes the likely explanation for this ECG typical of hyperkalemia:
    – tall, tented T waves.
    – absent P waves
    – wide QRS complexes.

    Treatment includes calcium gluconate; dextrose/insulin. Depending on ABG, could include dialysis if there is an indication.

    The fever is concerning in this immuncompromised patient, so a septic screen would be paramount – underlying sepsis triggering the probable acute on chronic renal failure and hyperkalemia. An initial broad spectrum antibiotic after taking appropriate cultures would be important.

Comments are closed.