Quote:
Originally Posted by Trapper John
IMO this is cardiogenic shock secondary to hyperkalemia and CHF. Emergency treatment plan is as stated before. Transport to the nearest primary care facility with a cardiologist on duty. Calcium chloride, 1 ampoule IV push and titrate to ECG response should be immediate and is the 1st line Rx. Long term - adjust meds.
|
I agree that this is cardiogenic shock, i.e. pump failure. I disagree with hyperkalemia causing it however. For Hyperkalemia to cause hypotension by itself you would expect more profound EKG changes such as marked widening of the QRS or arrhythmias.
Bradycardic? Check your rate.
Say, while we're on what is the rate, rhythm, and what are the ST, or T wave changes?