65 y/F obese pt. hv c/o diarrhoea (>10 epis.) since morning, nausea,abdominal pain and discomfort,breathlessness, o/e bp 110/90,spo2 72%,PR 140/min. pt.is drowsy. k/c/o DM2 her ECG attached here. plz interpret it.
Tracings shows sinus tachycardia otherwise wnl Pt is kco DM2T hence and had loose motions with hypoxia most like DKA
Chest leads r recorded at half standard S.Tachy LAD LAHB Look for Dehydration Advise to check Lytes, Acidosis (keto/Lactic), CBC if everything is good than P.E is DD here
Check for Serum Electrolyte, Renal Function , Thyroid and Urine Acetone. Maintain Airway, Breathing and Strict Output Chart. Get an Cardiac Opinion and Echo
Spo2 72 admit oxygen bring to 85 st t changes v5 v6 sinus tachycardia 2 d echo TSH serum creatinine serum electrolyte
RBG? CBC?. 2Decho Attach Dxray chest Full symptoms Urine for ketones
Sinus tachycardia I v fluids after neutralization with insulin Electrolyte imbalance
Sinus tachycardia
LAD , sinus Tachycardia Get serum Electrolytes
Ecg wnl.......except tachycardia
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