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She had home health nurse visits, and a BMP was sent the next day (the day prior to admission, presumably after 120 mEq of KCl replacement -- if she was taking as directed). It would be difficult to get a nurse to give it faster! Hospital admission had been recommended, but she left that ED against medical advice. How would you treat?
At cath, he immediately had incessant Torsades de Pointes requiring defibrillation 7 times and requiring placement of a transvenous pacer for overdrive pacing at a rate of 80. Could the dysrhythmias have been prevented? It would be difficult to get a nurse to give it faster! After pacing, there was no recurrence of Torsades.
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