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STEMI with Life-Threatening Hypokalemia and Incessant Torsades de Pointes

Dr. Smith's ECG Blog

Could the dysrhythmias have been prevented? It would be difficult to get a nurse to give it faster! During the resuscitation, I ordered 10 mEq KCl push, but the patient received 40 mEq of KCl, push (far more than recommended) The resident had ordered 40 mEq and that is what the nurses heard. Is 40 mEq too much?

STEMI 52